Impetigo
Superficial non-follicular pustules
- No evidence that disinfecting solutions are of any value.
Usual Pathogens
Bullous
S. aureus
Nonbullous, honey crust lesions
S. aureus
Nonbullous, honey crust lesions
Group A Streptococci
Limited involvement/disease
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Mupirocin 2% | tid topically | until resolved (max 7 days) |
| or | ||
| Fusidic acid 2% | tid-qid topically | until resolved (max 7 days) |
Unresponsive to topical or indication for systemic antibiotic
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Cloxacillin | 40-50mg/kg/d PO div qid | until resolved (max 7 days) |
| or | ||
| Cephalexin | 40mg/kg/d PO div qid | until resolved (max 7 days) |
ß-lactam allergy
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Erythromycin | 40mg/kg/d PO div qid | until resolved (max 7 days) |
| or | ||
| Clindamycin | 20mg/kg/d PO div qid | until resolved (max 7 days) |