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Nice guideline summary: Antimicrobial prescribing in impetigo

Nice guideline summary: Antimicrobial prescribing in impetigo

It may be useful to print this summary as a resource for your pharmacy team – PDF available here.

Impetigo is a superficial skin infection that usually presents as golden-crusted patches which start as fluid-filled vesicles, pustules or blisters.(1) Lesions can occur anywhere but most commonly affect the face and hands.(2) There are two types of impetigo, non-bullous and bullous. Non-bullous impetigo accounts for 70% of cases and involves fluid-filled vesicles that rupture quickly. Bullous impetigo involves bullae (fluid-filled lesions, larger than 5mm in diameter).(3) Bullous impetigo is very contagious and is most common in young children, but can affect people of any age. Staphylococcus aureus is the most common pathogen, however, Streptococcus pyogenes or a combination of both may be responsible for

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