Treatment FAQ

how many days of treatment before impetigo clears up?

by Johan Willms MD Published 2 years ago Updated 2 years ago

Treating impetigo
Impetigo isn't usually serious and often clears up without treatment after two to three weeks. Treatment is often recommended as it can help clear up the infection in around seven to 10 days and reduce the risk of the infection being passed on to others.
Dec 16, 2020

Medication

Some types of the bacteria that cause impetigo have become resistant to certain antibiotics. Impetigo is treated with prescription mupirocin antibiotic ointment or cream applied directly to the sores two to three times a day for five to 10 days.

What is the treatment for impetigo?

The infection usually clears up on its own within a few weeks. Ointments that contain antibiotics are often used in the treatment of impetigo to make the symptoms go away faster. Antibiotic tablets may be used if the impetigo has spread over larger areas of skin.

Does impetigo go away on its own?

How Widespread Cases of Impetigo Are Treated. If the topical treatments aren’t effective or if the impetigo has spread to other parts of the body, it may be time for an oral antibiotic. Oza says he’d likely prescribe one for 7 to 10 days, though you’ll probably see results much sooner.

How long does it take for antibiotics to work for impetigo?

Once an infection occurs, it can take up to three days before symptoms occur. The sores can itch; scratching them usually spreads the infection. How does someone get impetigo? When the skin is opened or punctured from a cut, bite, or scratch, the bacteria can get under the skin, which can lead to infection.

How long does it take for impetigo symptoms to show up?

How long does it take for impetigo to go away with treatment?

Impetigo is a skin infection that's very contagious but not usually serious. It often gets better in 7 to 10 days if you get treatment. Anyone can get it, but it's very common in young children.

What does impetigo look like when it's healing?

Impetigo starts as a red, itchy sore. As it heals, a crusty, yellow or “honey-colored” scab forms over the sore.

How can I speed up the healing of impetigo?

Research has shown that milder cases of impetigo go away faster when they're treated with particular antibiotic creams. It isn't clear whether antiseptic solutions or creams can help. Impetigo is a skin infection that is usually itchy and sometimes painful, and is most common in children.

Does impetigo get worse before it gets better?

Impetigo usually heals without scarring. Although it normally goes away on its own in a few weeks, treatment is still recommended because it often gets worse before it gets better. Sometimes it can turn into a much more serious skin condition.

What are the stages of impetigo?

It goes through the following stages:It usually starts with reddish, itchy sores around the mouth and nose.The sores break open, leaving red and irritated skin around them.A brownish-yellow crust forms.When the crusts heal, there are reddish spots that fade and don't leave scars.

Should you remove the crust from impetigo?

It is very important to remove all the crusts so the antibiotic ointment can get through to kill the germs. 5. You may have to rub the area gently, but don't scrub it because this can push the germs into normal skin and lead to more impetigo. A little bleeding is common when you remove all the crusts.

How long does it take for impetigo to crust?

The blisters are usually about 1-2cm across. The blisters may quickly spread, before bursting after several days to leave a yellow crust that usually heals without leaving any scarring. The blisters may be painful and the area of skin surrounding them may be itchy.

Should you keep impetigo dry or moist?

Sores should be cleaned every 8 – 12 hours, dried thoroughly and covered with a waterproof dressing. Bathing the blisters with salty water will help to dry them out (use saline solution or dissolve about half a teaspoon of salt in a cup of water).

Can you shower with impetigo?

Bathe or shower daily. Keep fingernails clean and short. Wash with hot water and soap clothing, sheets, towels, and other items that come in contact with impetigo sores or crusts. Do not share these items with anyone else.

Can impetigo spread while on antibiotics?

Treatment with antibiotics can limit the spread of impetigo to others. Keep children home from school or day care until they're no longer contagious — usually 24 hours after beginning antibiotic treatment.

How long does impetigo last on sheets?

Lab tests can be used to confirm the presence of the bacteria. Impetigo usually goes away on its own within two weeks, but treatment may relieve the symptoms, improve the appearance of the rash, and prevent transmission to others.

Is impetigo contagious when scabbed?

Without treatment, impetigo can be contagious for weeks. After starting impetigo treatment, the condition is contagious until: The rash disappears. Scabs fall off.

How to keep impetigo from spreading?

These items should not be shared with anyone else. After they have been washed, these items are safe for others to use. The best way to keep from getting or spreading group A strep is to wash your hands often .

How to diagnose impetigo?

Doctors typically diagnose impetigo by looking at the sores (physical examination). Lab tests are not needed.

Why do you have to cover impetigo sores?

Keep sores caused by impetigo covered in order to help prevent spreading group A strep to others. If you have scabies, treating that infection will also help prevent impetigo.

What does impetigo look like?

Impetigo starts as a red, itchy sore. As it heals, a crusty, yellow or “honey-colored” scab forms over the sore.

Why do doctors prescribe antibiotics for impetigo?

Doctors use antibiotics to treat impetigo and prevent rare, but serious long-term health problems. Antibiotics can also help protect others from getting sick.

What is the most common risk factor for impetigo?

Close contact or crowding: Close contact with another person with impetigo is the most common risk factor for illness. For example, if someone has impetigo, it often spreads to other people in their household. Infectious illnesses also tend to spread wherever large groups of people gather together.

Where is impetigo most common?

Climate: Impetigo is more common in areas with hot, humid summers and mild winters (subtropics), or wet and dry seasons (tropics), but it can occur anywhere.

What is the best treatment for impetigo?

An antibiotic usually cures impetigo. Dermatologists often prescribe an antibiotic that you apply to the skin, such as mupirocin or retapamulin. The Food and Drug Administration (FDA) has approved retapamulin to treat impetigo in children as young as 9 months old.

How to diagnose impetigo?

A dermatologist can often diagnose impetigo by looking at your skin.

How long do you have to stay home from school with impetigo?

Because impetigo is very contagious, a child may need to stay home from school for a few days. If this is necessary, your dermatologist will tell you when your child can return to school.

What to do if you see something on your skin?

If you see anything on your skin that looks infected, it’s best to see a board-certified dermatologist as soon as possible. An early diagnosis and treatment can prevent complications and help you feel better. Images. Getty Images. References.

Why do you cover your skin with impetigo?

Cover the skin with impetigo to help it heal and prevent spreading the infection to others.

Can impetigo be treated?

Dermatologists recommend treating impetigo. It can help cure the impetigo and prevent others from getting this highly contagious skin infection.

Can you take antibiotics by mouth?

Sometimes stronger medicine is necessary. Your dermatologist can prescribe an antibiotic that you take by mouth. A few patients need injections of an antibiotic.

How long does it take for mupirocin to work on impetigo?

Impetigo is treated with prescription mupirocin antibiotic ointment or cream applied directly to the sores two to three times a day for five to 10 days. Before applying the medicine, soak the area in warm water or apply a wet cloth compress for a few minutes.

What to do if your sores don't clear?

If the sores don't clear, even with antibiotic treatment, your doctor might take a sample of the liquid produced by a sore and test it to see what types of antibiotics would work best on it. Some types of the bacteria that cause impetigo have become resistant to certain antibiotics.

Can you take antibiotics for ecthyma?

For ecthyma or if more than just a few impetigo sores are present, your doctor might prescribe antibiotics taken by mouth. Be sure to finish the entire course of medication even if the sores are healed.

How long does it take for impetigo to clear up?

Treatment can help the impetigo clear up within 10 days and limit the chances of it spreading. (2) “If you’re having it present for a couple of days, you should see a provider about the infection, and it should be appropriately treated,” Oza says.

How long does it take for an antibiotic to treat impetigo?

Oza says he’d likely prescribe one for 7 to 10 days, though you’ll probably see results much sooner.

How to heal impetigo?

Dr. Friedler recommends applying Vaseline, Bactroban (mupirocin), or Bacitracin to the bite or cut and then covering the area with a bandage to help promote hea ling.

How to prevent impetigo from spreading?

Maintaining short, trimmed fingernails is another way to keep impetigo from spreading. Oftentimes, if a child scratches the infected area, the bacteria can get into the fingernails and then spread easily when he or she touches other people or other parts of the body.

What age does impetigo occur?

Impetigo is a bacterial infection that occurs most often in young children ages 2 to 5. ( 1) “Kids get it by being around each other, kind of rubbing up against each other,” says Suzanne Friedler, MD, a board-certified fellow of the American Academy of Dermatology and a clinical instructor at Mount Sinai Medical Center in New York City.

What causes impetigo in the throat?

There are two types of impetigo: Nonbullous impetigo, which accounts for 70 percent of cases, is caused by bacteria called Staphylococcus aureus, which causes staph infection, or Streptococcus pyogenes, which causes strep throat.

Why do you want to treat eczema?

For instance, “if somebody has eczema, you definitely want to treat that eczema because the broken-down skin barrier allows bacteria to penetrate very easily ,” Friedler says.

How long does it take for impetigo to go away?

It is caused by bacteria and is highly contagious. Left untreated, it usually clears up on its own within a few weeks – but there's a risk of infecting other people until it does. Antibiotic creams are often used in order to make the symptoms go away faster and stop the infection from spreading. Antibiotic tablets may be used if the impetigo has spread over larger areas of skin. All antibiotic medications have to be prescribed by a doctor.

Does mupirocin cream help impetigo?

In other words: Treatment with mupirocin cream helped impetigo clear up faster in 40 out of 100 people.

Is mupirocin cream better than erythromycin?

Mupirocin cream was also somewhat more effective than tablets containing the antibiotic erythromycin (in the treatment of impetigo that covered smaller areas of skin). Erythromycin tablets were also more likely to cause side effects such as nausea, vomiting, stomach ache and diarrhea. In the studies, about 25 out of 100 people who took the erythromycin tablets had these kinds of side effects, but only 5 out of 100 people who used mupirocin cream did.

How long does it take for impetigo to go away?

Impetigo often disappears within about three weeks, even without treatment. But it may take longer. Until it goes away, your child is contagious.

How to diagnose impetigo?

A healthcare provider can diagnose impetigo based on how the sores look. The provider may take a skin sample to send to a laboratory. Pathologists can figure out which bacteria is causing the disease, which can help determine the right antibiotic to use.

What is impetigo skin?

Impetigo is a common skin infection, especially among children, that is usually caused by Staphylococcus bacteria. Symptoms include blisters and a rash. Impetigo is treated with antibiotics.

How long is impetigo contagious?

Without treatment, impetigo can be contagious for weeks. After starting impetigo treatment, the condition is contagious until:

What is bullous impetigo?

Bullous impetigo is a rare type of impetigo. It has larger blisters that don’t break open as easily. It often appears on the neck, torso, armpits or groin. Cleveland Clinic is a non-profit academic medical center.

How old do you have to be to get impetigo?

Impetigo usually happens to children between ages 2 and 6. Older children and adults can also get it. You may also be at higher risk if you: Live in a tropical climate, with hot, humid summers and mild winters. Have a scabies infection.

How to help a child with eczema?

Bathe daily (or as often as possible), especially for children with eczema or sensitive skin. Avoid scratching: Don’t scratch cuts or wounds. If your child gets a cut, scratch or wound, keep them from scratching it. Clean wounds: Clean cuts, scrapes and injuries with soap and water.

How long does impetigo last?

With the proper treatment, impetigo can go away within a week and may last up to 10 days.

How do you cure impetigo?

Fortunately, this infection can be cured with treatments like antibiotic cream or topical ointment that can be applied directly to the affected area. In more severe cases, a patient may be prescribed an oral antibiotic to help clear up the infection.

What is impetigo?

Impetigo (also called school sores) is a bacterial skin infection common among infants and children. This highly contagious condition affects the nose and mouth in particular but may also spread to the hands and feet. Symptoms of impetigo include red sores that eventually burst and create a yellow crust.

What is the best medication for impetigo?

The best medication for impetigo will depend on what kind of bacterial strain has caused the infection . Before prescribing a medication, a doctor will also take into account the patient’s medical history and other medications in order to determine which antibiotic will have the best treatment response.

What are the common side effects of impetigo medication?

When it comes to topical antibiotics, the most common side effects include:

What are the best home remedies for impetigo?

Impetigo is likely to require prescription medications like topical antibacterials in order to be sufficiently cured, although there are some natural remedies that people have used to help treat or prevent the infection, including:

What is the most contagious form of impetigo?

Nonbullous impetigo is the most common form of the infection, and it is also the most contagious. It is marked by the appearance of red, small blisters that burst with fluid and leave behind a crusty appearance. Bullous impetigo results in the formation of large blisters called bullae, that appear fluid-filled and may take longer to rupture.

How to get rid of impetigo sores?

Wash your hands before you touch food, your eyes, or other people. If no water is available, use an alcohol-based gel to clean your hands. Wash household items. Do not share or reuse items that have come in contact with impetigo sores.

How to spread impetigo on your body?

You can also spread impetigo on your own body when you touch the area and then touch somewhere else. Keep the sores covered with gauze so you will not scratch or touch them. Keep your fingernails short. Your child may need to wear mittens so he does not scratch his sores.

What is impetigo skin?

WHAT YOU NEED TO KNOW: Impetigo is a skin infection caused by bacteria. The infection can cause sores to form anywhere on your body. The sores develop watery or pus-filled blisters that break and form thick crusts. Impetigo is most common in children and spreads easily from person to person.

How to treat bacterial infection?

Medicines: Antibiotics treat the bacterial infection. Antibiotics may be given as a pill or cream. Wash your skin and gently remove any crusts before you apply the antibiotic cream. Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects.

How long after antibiotics can you go back to school?

You may return to work or school 48 hours after you start the antibiotic medicine. If your child has impetigo, tell his school or daycare center about the infection.

How long does it take for a sore to heal after a fever?

Contact your healthcare provider if: You have a fever. The sores become more red, swollen, warm, or tender. The sores do not start to heal after 3 days of treatment. You have questions or concerns about your condition or care.

How to get rid of crusty skin on face?

Clean your sores safely: Wash your skin sores with antibacterial soap and water. You may need to do this 2 to 3 times each day until the sores heal. If the area is crusted, gently wash the sores with gauze or a clean washcloth to remove the crust. Pat the area dry with a clean towel.

Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Juhi Mehrotra
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Antibiotics are the preferred choice of treatment. It can be in the form of oral medications (Systemic antibiotics) or ointment and cream (topical antibiotics).
Medication

Topical antibiotics: Creams or ointments that can be applied directly on the skin.

Mupirocin . Retapamulin


Systemic antibiotics: Drugs commonly used to treat systemic infections.

Cefotaxime . Amoxicillin

Specialist to consult

Pediatrician
Specializes in the health of children, including physical, behavioral, and mental health issues
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

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