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Impetigo management — GPhC CRA MCQ

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ModerateInfectionsImpetigo managementGPhC CRA

A parent asks for fusidic acid cream for a 4-year-old with small honey-coloured crusted lesions around the nose. The child is well, has no fever and lesions are localised. What is the most appropriate action?

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Correct answer: A — Advise assessment under the minor infection pathway and hygiene measures to reduce spread

Localised impetigo can often be managed with topical treatment according to current local guidance, but assessment is needed to confirm extent and suitability. Hygiene measures reduce transmission, including not sharing towels and handwashing. Topical steroids are not first-line treatment for bacterial impetigo. Oral antibiotics are usually reserved for more extensive or severe disease.

Reference: NICE CKS Impetigo; local PGD/service specification