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Dermatology

Impetigo: symptoms, causes & treatment

Also known as school sores, bacterial skin infection.

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Overview

Impetigo is a common and highly contagious bacterial skin infection, most often seen in young children. It causes sores and blisters that burst and form characteristic golden-brown or honey-coloured crusts, usually around the nose and mouth. It spreads easily through close contact and shared items, but is usually not serious and clears with treatment.

Symptoms

  • Red sores or blisters, often around the nose, mouth, hands or other exposed skin
  • Sores that burst and leave golden-brown or honey-coloured crusts
  • Itching and sometimes mild soreness
  • Spread to other body areas through scratching
  • Occasionally fluid-filled blisters that are larger and last longer

Causes & risk factors

  • Bacteria (commonly staphylococcus or streptococcus) entering through breaks in the skin
  • Cuts, insect bites, eczema or other skin damage
  • Close contact with an infected person or contaminated towels, clothing or toys
  • Warm, humid conditions and crowded settings encourage spread

Treatment & self-care

Impetigo is treated with antibiotics, either applied to the skin or taken by mouth, as advised by a clinician. Good hygiene, not sharing towels, and keeping affected children away from school or nursery until no longer contagious help prevent spread. A doctor or pharmacist can guide diagnosis and treatment.

See a doctor urgently if

  • You or your child develop crusted or blistering sores that may be impetigo
  • The infection is spreading, not improving with treatment, or keeps coming back
  • There is increasing redness, swelling, pain or fever
  • Sores are widespread or the person has a weakened immune system
  • You develop dark urine or swelling in the days after impetigo - seek prompt care

Frequently asked questions

What are the first signs of Impetigo?
Early signs often include red sores or blisters, often around the nose, mouth, hands or other exposed skin, sores that burst and leave golden-brown or honey-coloured crusts, itching and sometimes mild soreness. Symptoms vary from person to person, so a proper assessment by a doctor is the only way to be sure.
Can Impetigo be treated?
Impetigo is treated with antibiotics, either applied to the skin or taken by mouth, as advised by a clinician. Good hygiene, not sharing towels, and keeping affected children away from school or nursery until no longer contagious help prevent spread. A doctor or pharmacist can guide diagnosis and treatment.
When should I see a doctor about Impetigo?
See a doctor promptly if you notice: you or your child develop crusted or blistering sores that may be impetigo; the infection is spreading, not improving with treatment, or keeps coming back; there is increasing redness, swelling, pain or fever; sores are widespread or the person has a weakened immune system; you develop dark urine or swelling in the days after impetigo - seek prompt care.

Talk to the right specialist

Impetigo is usually handled by dermatology. See an online dermatology doctor in minutes on iHealix.

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