This protocol applies to patients presenting with widespread non-bullous impetigo who are not systemically unwell and are not at high risk of complications. In this setting, a short antibiotic course is indicated rather than topical therapy alone.
A short course of an oral antibiotic is recommended. The choice of agent depends on individual factors including any antibiotic allergy and pregnancy status — full antibiotic selection and course details are in the structured protocol.
Cure or clear improvement of non-bullous impetigo by the end of the treatment course.
Offer a short course of a topical or oral antibiotic for people with widespread non-bullous impetigo who are not systemically unwell or at high risk of complications (see recommendations on choice of antimicrobial).
Offer a short course of an oral antibiotic (see the recommendations on choice of antimicrobial).
A 5-day course is usually appropriate but can be increased to 7 days based on clinical judgement, depending on the severity and number of lesions.
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