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Impetigo Pharmacy First — GPhC CRA MCQ

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ModerateInfectionsImpetigo Pharmacy FirstGPhC CRA

A mother asks for advice for her 6-year-old child with honey-coloured crusted lesions around the nose. The child is well, afebrile and has no widespread eczema. The pharmacy provides the NHS Pharmacy First service. What is the most appropriate action?

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Correct answer: E — Assess against the service pathway and consider supply of topical hydrogen peroxide or topical antibiotic if criteria are met

Localised impetigo in a well child can be managed in community pharmacy where the service and inclusion criteria apply. Non-antibiotic treatment may be suitable for limited non-bullous impetigo, while topical antibiotic options may be used according to protocol. Oral antibiotics or urgent referral are reserved for more severe or systemic presentations. Corticosteroid or antiviral treatment would not address typical impetigo.

Reference: NICE CKS; Pharmacy First service specification