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Localised impetigo — GPhC CRA MCQ

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ModerateInfectionsLocalised impetigoGPhC CRA

A parent asks for advice about a 6-year-old with honey-coloured crusted lesions around the nose for 2 days. The child is well, afebrile and has three small localised lesions. There are no signs of cellulitis. What is the most appropriate alternative?

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Correct answer: E — topical hydrogen peroxide or topical antibiotic according to local guidance

Localised non-bullous impetigo in a well child can often be managed with topical treatment, guided by local antimicrobial policy. Hydrogen peroxide cream may be used where appropriate, while topical antibiotics are reserved according to guidance to reduce resistance. Oral antibiotics are generally used for more widespread, bullous or systemically concerning infection. Aciclovir and terbinafine do not treat impetigo.

Reference: BNF; NICE CKS: Impetigo