Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Recommended first-line topical treatments for a child diagnosed with impetigo:
- For localized non-bullous impetigo in children who are not systemically unwell or at high risk of complications, hydrogen peroxide 1% cream applied two to three times daily for 5 days is recommended as the first-line treatment.
- If hydrogen peroxide 1% cream is unsuitable (for example, if the impetigo is around the eyes), topical fusidic acid 2% cream applied three times daily for 5 days should be offered.
- If fusidic acid resistance is suspected or confirmed, topical mupirocin 2% cream applied three times daily for 5 days is recommended as an alternative.
Reassessment is advised if symptoms worsen rapidly or do not improve after completing the treatment course.