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• Impetigo

(A common contagious bacterial skin infection, especially in children)

What Is Impetigo?

Impetigo is a common bacterial skin infection that most often affects infants and children, although adults can get it too. It usually develops when bacteria enter through small breaks in the skin such as:

  • Scratches
  • Insect bites
  • Eczema
  • Irritated skin
  • Runny nose irritation

The infection is commonly caused by:

  • Staphylococcus (staph) bacteria
  • Streptococcus (strep) bacteria

Impetigo is highly treatable and usually heals well with proper care.

What Does Impetigo Look Like?

Classic signs include:

  • Red sores or bumps
  • Blisters or oozing areas
  • Honey-colored crusts (very common)
  • Itching or mild discomfort

Common locations:

  • Around the nose
  • Around the mouth
  • Face
  • Arms and legs

Some forms can cause larger blisters (bullous impetigo).

What Does Impetigo Look Like?

Classic signs include:

  • Red sores or bumps
  • Blisters or oozing areas
  • Honey-colored crusts (very common)
  • Itching or mild discomfort

Common locations:

  • Around the nose
  • Around the mouth
  • Face
  • Arms and legs

Some forms can cause larger blisters (bullous impetigo).


Is Impetigo Contagious?

Yes. Impetigo spreads easily through:

  • Skin-to-skin contact
  • Shared towels or clothing
  • Scratching infected areas

Children may spread it at:

  • Daycare
  • School
  • Sports activities

Good hygiene helps reduce spread.

How Is Impetigo Treated?

Mild cases:
  • Prescription topical antibiotic ointment
More widespread cases:
  • Oral antibiotics
Additional care:
  • Gentle cleansing
  • Keeping nails short
  • Preventing scratching

Most patients improve quickly once treatment begins.


What to Expect During Recovery

  • Crusting usually improves within several days
  • Skin heals gradually over 1–2 weeks
  • Mild temporary discoloration can occur after healing

Prompt treatment helps reduce spread and complications.

Can Impetigo Leave Scars?

Most cases heal without scarring if treated properly and not heavily scratched.

Pre-Op Instructions

(Before evaluation or treatment)

  • Gently cleanse the affected area
  • Avoid picking or scrubbing crusts aggressively
  • Avoid sharing towels, washcloths, or razors
  • Tell us if:
    • Fever is present
    • Redness is spreading rapidly
    • The patient has eczema or immune system problems

If a culture is needed, avoid applying heavy ointments right before the visit unless instructed.

Post-Op Instructions

(After starting treatment)

What’s normal
  • Mild redness while healing
  • Crusting gradually loosening
  • Some residual pinkness after infection clears
Aftercare
  • Use medications exactly as prescribed
  • Wash hands frequently
  • Keep fingernails short
  • Wash towels, pillowcases, and bedding regularly
  • Children may need to stay home from school/daycare until treatment has started and contagiousness decreases
Call the office if
  • Fever develops
  • Redness spreads rapidly
  • Pain worsens
  • Drainage becomes severe
  • No improvement occurs after several days of treatment

Frequently Asked Questions

What causes impetigo?

It is caused by bacteria entering irritated or broken skin.

Most cases are mild and treatable, but untreated infection can spread or rarely lead to complications.

Very contagious, especially among children and close contacts.

Yes. Although common in children, adults can develop impetigo too.

Yes. Recurrence can occur, especially in patients with eczema, skin picking, or frequent skin irritation.

Prescription treatment is usually needed for proper management.

Often after treatment has started and contagiousness decreases, but follow your physician’s recommendations and school policies.