Impetigo

L01.0 + (B95.0-8)


DESCRIPTION

Superficial skin infection, starting as vesicles with an inflammatory halo. Later a characteristic honey-coloured crust on erythematous base develops which heals without scarring. Usually caused by group A streptococci or staphylococci. Post-streptococcal glomerulonephritis is a potential complication.

GENERAL MEASURES

Good personal and household hygiene to avoid spreading the infection and to reduce carriage of organisms.
Wash and soak lesions in soapy water to soften and remove crusts.

MEDICINE TREATMENT

Antibiotic therapy

  • Flucloxacillin, oral, 500 mg 6 hourly for 5 days.

Severe penicillin allergy: (Z88.0)

  • Macrolide, e.g.:
    • Azithromycin, oral, 500 mg daily for 3 days.