Difference between revisions of "Impetigo"

(Differential Diagnosis)
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*Topical antibiotics
**Mupirocin ointment 2% TID x 7-14d
{{Impetigo Antibiotics}}
*Oral antibiotics
**Consider for large areas or if topical treatment is impractical or for [[bullous impetigo]]
**[[Clindamycin]] 24mg/kg/d in 3 doses x7-10d
==See Also==
==See Also==

Revision as of 15:03, 25 April 2015


  • Superficial epidermal infection characterized by amber crusts (nonbullous) or vesicles (bullous)
  • May be super-infection or primary infection
  • Fever and systemic signs are uncommon
  • Postinfectious Glomerulonephritis is a possible complication


Impetigo honey-colored scab
  • Nonbullous
    • Erythematous macules/papules develop into vesicles which become pustular and rupture
      • As rupture release yellow fluid which dries to form stratified golden crust
  • Bullous
    • Bullae form as result of staph toxin
    • Some cases caused by MRSA


  • Clinical diagnosis

Differential Diagnosis




Coverage for MSSA, MRSA, Group A Strep

Topical therapy

  • Mupirocin (Bactroban) 2% ointment q8hrs x 5 days
    • For nonbullous impetigo, topic antibiotics are as effective as oral antibiotics

Oral Therapy

See Also