Impetigo

Impetigo is a common and highly contagious skin infection that can affect people of all ages, but it’s especially prevalent among children. If you or your child has suspected non-bullous impetigo, you may be able to access quick and effective treatment through the Pharmacy First service under NHS care. This service allows patients who meet the criteria to receive faster care without needing to visit a GP.

What Is Non-Bullous Impetigo?

Non-bullous impetigo is the most common form of impetigo and typically presents as:

• Red sores or spots: These often start around the nose, mouth, or other areas of broken skin.
• Crusting lesions: The sores may burst and form a honey-colored crust.
• Mild itching or irritation: The affected area may be slightly uncomfortable.

Non-bullous impetigo is usually mild and responds well to prompt treatment, which helps prevent it from spreading to others.

How the Pharmacy First Service Works

1. Consultation:

   • Visit your local pharmacy and explain your symptoms.
   • The pharmacist will ask questions to confirm the diagnosis, including when symptoms started, the appearance of the rash, and any other relevant medical history.

2. Treatment Options:

   • The pharmacist may prescribe a topical antibiotic, such as fusidic acid cream, to apply directly to the affected areas.
   • For more widespread or persistent cases, oral antibiotics may be recommended, although this typically requires escalation to a GP.

3. Advice for Self-Care:

   • Wash the affected area gently with soap and water to remove crusts.
   • Avoid touching or scratching the sores to prevent spreading the infection.
   • Wash hands regularly and avoid sharing towels, bedding, or clothing with others.

Benefits of Using Pharmacy First

• Faster Access to Care: Avoid delays by receiving immediate attention without a GP appointment.
• Convenience: Pharmacies are often open in the evenings and on weekends.
• Comprehensive Care: Pharmacists are trained to assess and treat non-bullous impetigo and will refer you to a GP if necessary.

When to See a GP or Specialist

You should seek further medical advice if:

• The impetigo does not improve within a week of starting treatment.
• The infection is spreading rapidly or becoming painful.
• You or your child has symptoms of bullous impetigo (fluid-filled blisters) or systemic symptoms such as fever.
• You have recurrent episodes or other underlying conditions affecting your immune system.

Preventing the Spread of Impetigo

• Keep the affected area covered with a dressing if possible.
• Avoid close contact with others until the sores have healed or 48 hours after starting antibiotics.
• Wash hands frequently and maintain good hygiene practices.

Key Takeaways

The NHS Pharmacy First service provides fast and effective management for non-bullous impetigo in adults and children aged 1 year and older. By accessing care early, you can ensure quicker recovery and reduce the risk of spreading the infection to others. If you suspect impetigo, visit your local pharmacy for assessment and treatment.