Impetigo
Superficial nonfollicular pustules
- No evidence that disinfecting solutions are of any value.
Usual Pathogens
Bullous:
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 | 500mg PO qid | until resolved (max 7 days) |
| or | ||
| Cephalexin | 500mg PO qid | until resolved (max 7 days) |
Penicillin and cephalexin allergy
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Erythromycin | 500mg PO qid | until resolved (max 7 days) |
| or | ||
| Clindamycin | 300mg PO qid | until resolved (max 7 days) |