Impetigo Follow-Up Guide: What Parents Need to Know

Understanding Impetigo 

What is it? 

Impetigo is a contagious skin infection common in young children. It causes red sores that crust over, often around the nose and mouth, but it can appear anywhere.

Common Types

  • Non-bullous impetigo – Red sores that form honey-colored crusts
  • Bullous impetigoBlisters filled with clear/yellow fluid
  • Ecthyma – A deeper form with ulcers and thick crusts (less common)

When to Manage at Home

✅ You can manage your child's impetigo at home when:

  • Mild cases with localized rash
  • No fever or fatigue
  • Child is otherwise acting normally

How to Treat at Home 

 🏠 Home remedies for Impetigo:

  • Wash lesions 3x/day with warm water and mild soap
  • Apply Mupirocin ointment 3x/day for 5–10 days (if prescribed)
  • Wash clothing, towels, and bedding in hot water
  • Cover lesions, if possible, to prevent spreading
  • Keep fingernails short to avoid scratching

Safe Medications

  • Mupirocin (topical antibiotic)
  • Oral antibiotics (e.g., Keflex, Clindamycin, or Bactrim) if prescribed for more widespread cases

When to Contact Poppins 

📱 Contact us again when:

  • Rash isn’t improving within 72 hours
  • You’re not sure if it’s impetigo or something else
  • You suspect a deeper infection (ecthyma)

When to Visit Your Pediatrician 

🩺 Go to an in-person appointment when:

  • Fever, fatigue, or rapid spreading
  • Rash isn’t responding to antibiotics
  • Concern for MRSA or history of recurrent skin infections

When to Go to the ER

🚨 Seek immediate emergency care if your child is: 

  • High fever + widespread infection
  • Severe fatigue or child is unusually drowsy
  • Signs of rapidly worsening illness or deeper skin damage 

Return to School/Daycare:

✅ After 24 hours of antibiotics and if lesions can be covered

If your gut tells you something is wrong, don't hesitate to reach out. Need help? Reconnect with our on-demand team of medical staff available 24/7.

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