A 7-year-old has four small crusted lesions on the forearm consistent with localised non-bullous impetigo. The child is systemically well, has no

Question

A 7-year-old has four small crusted lesions on the forearm consistent with localised non-bullous impetigo. The child is systemically well, has no immunosuppression and the lesions are not near the eyes. What is the most appropriate initial treatment to consider?

Accepted Answer

Hydrogen peroxide 1% cream for five days with hygiene and safety-net advice

Answer

Topical fusidic acid for repeated monthly courses to prevent spread

Answer

Oral flucloxacillin for seven days because any childhood impetigo requires systemic treatment

Answer

Topical clotrimazole because crusting indicates a superficial fungal infection

Answer

Oral clarithromycin because topical antiseptics are not recommended in children

Impetigo localised — GPhC CRA MCQ

A 7-year-old has four small crusted lesions on the forearm consistent with localised non-bullous impetigo. The child is systemically well, has no immunosuppression and the lesions are not near the eyes. What is the most appropriate initial treatment to consider?