Impetigo · Pharmacy First

Impetigo is a common and very contagious skin infection caused by bacteria. It clears up reliably with antibiotic treatment — and it stops being contagious 48 hours after starting treatment, which is good news for school and nursery returns.

Who is eligible?

The NHS Pharmacy First impetigo service is for:

• Adults and children aged 1 year and over.
• With a rash consistent with impetigo (golden crusts, blistery sores, often around the nose and mouth).
• Where the affected area is reasonably localised (not widespread).

What does impetigo look like?

Typical features include:

• Red sores that quickly burst and form a golden-yellow crust.
• Often around the nose, mouth, hands, or arms — but can appear anywhere.
• Itchy but usually not very painful.
• Spreading rapidly to other areas of skin and to other people in the household.

What we will do

Walk in or call ahead. The consultation is private and takes around 15 minutes.

• We take a brief history and examine the rash.
• We confirm whether it is consistent with impetigo and assess severity.
• Where appropriate, we prescribe topical or oral antibiotics on the spot.
• We give you advice on hygiene and stopping the spread.

Stopping it spreading

Impetigo is very contagious until 48 hours of antibiotic treatment is complete (or until the sores have crusted over and stopped weeping if untreated, which can take 7+ days).

• Wash hands frequently, especially after touching the rash.
• Use separate towels and flannels.
• Avoid touching or picking the sores.
• Stay off school, nursery or work for at least 48 hours after starting antibiotics.
• Wash bedding and clothes that have been in contact with the rash.