Treatment FAQ

how soon to see improvement impetigo treatment

by Dr. Lukas Douglas Sr. Published 2 years ago Updated 2 years ago
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About impetigo
It's not usually serious and often improves within a week of treatment or within a few weeks without treatment.
Dec 16, 2020

Medication

With treatment, impetigo usually heals in 7 to 10 days. If you have an underlying infection or skin disease, the infection may take longer to heal. Although impetigo is more common in young children, adults can get it too.

How long does impetigo take to heal?

If you see those symptoms, visit your health care provider. Impetigo is usually treated with topical or oral antibiotics. If you have multiple lesions or if there is an outbreak, your doctor might prescribe an oral antibiotic. There is no over-the-counter (OTC) treatment for impetigo.

When should I see a doctor for impetigo?

The goal is to keep the impetigo contained and prevent it from spreading to other parts of the body and to other family members in the household. That’s where good hygiene comes into play.

What is the goal of impetigo treatment?

It usually takes 10 days for sores to appear after someone is exposed to group A strep. Young Children are at Increased Risk Anyone can get impetigo, but some factors increase someone’s risk of getting this infection. Age: Impetigo is most common in children 2 through 5 years old.

How long does it take for impetigo sores to appear?

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How long does it take for impetigo to improve?

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 impetigo healing?

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.

How do I treat impetigo that won't go away?

Antibiotics are the main treatment for impetigo. You may need to apply a cream to your skin. Or you may need to take an antibiotic by mouth. Untreated impetigo can cause serious complications, such as deeper infection.

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.

Should you let impetigo dry out?

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 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.

How Do You Know When impetigo is no longer contagious?

During treatment, it's important to take precautions to minimise the risk of impetigo spreading to other people or to other areas of the body. Most people are no longer contagious after 48 hours of treatment or once their sores have dried and healed.

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.

How long does mupirocin take to work?

How long does mupirocin (Centany) take to work? You should start to notice your skin getting better within a few days. If you haven't noticed any improvement after 3 to 5 days, check with your healthcare provider for further advice.

How long is impetigo contagious after starting 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.

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.

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?

Untreated, impetigo often clears up on its own after a few days or weeks, Smith says. The key is to keep the infected area clean with soap and water and not to scratch it. The downside of not treating impetigo is that some people might develop more lesions that spread to other areas of their body.

What is the best treatment for impetigo?

Impetigo is usually treated with topical or oral antibiotics. If you have multiple lesions or if there is an outbreak, your doctor might prescribe an oral antibiotic. There is no over-the-counter (OTC) treatment for impetigo.

How to spread impetigo?

And you can infect others. “To spread impetigo, you need fairly close contact — not casual contact — with the infected person or the objects they touched,” he says. Avoid spreading impetigo to other people or other parts of your body by: 1 Cleaning the infected areas with soap and water. 2 Loosely covering scabs and sores until they heal. 3 Gently removing crusty scabs. 4 Washing your hands with soap and water after touching infected areas or infected persons.

What causes impetigo on the skin?

What Causes Impetigo. Two types of bacteria found on our skin cause impetigo: Staphylococcus aureus and Streptococcus pyogenes (which also causes strep throat). Most of us go about our lives carrying around these bacteria without a problem, Smith says.

Can you touch someone with impetigo?

Because impetigo spreads by skin-to-skin contact, there often are small outbreaks within a family or a classroom, Smith says. Avoid touching objects that someone with impetigo has used, such as utensils, towels, sheets, clothing and toys.

Can you get impetigo more than once?

Anyone can get impetigo — and more than once, Smith says. Although impetigo is a year-round disease, it occurs most often during the warm weather months. There are more than 3 million cases of impetigo in the United States every year. “We typically see impetigo with kids 2 to 6 years old, probably because they get more cuts and scrapes ...

What is the best treatment for impetigo?

Antibiotics Treat Impetigo. Impetigo is treated with antibiotics that are either rubbed onto the sores (topical antibiotics) or taken by mouth (oral antibiotics). A doctor might recommend a topical ointment, such as mupirocin or retapamulin, for only a few sores. Oral antibiotics can be used when there are more sores.

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 impetigo scab?

Signs and Symptoms. Impetigo starts as a red, itchy sore. As it heals, a crusty, yellow or “honey-colored” scab forms over the sore. In general, impetigo is a mild infection that can occur anywhere on the body. It most often affects exposed skin, such as around the nose and mouth or on the arms or legs.

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 .

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.

How to prevent impetigo from scabies?

Common sense and good wound care are the best ways to prevent bacterial skin infections, including impetigo: Clean all minor cuts and injuries that break the skin (like blisters and scrapes) with soap and water.

How to practice good hygiene after sneezing?

To practice good hygiene, you should: Cover your mouth and nose with a tissue when you cough or sneeze. Put your used tissue in the waste basket. Cough or sneeze into your upper sleeve or elbow, not your hands, if you don’t have a tissue.

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 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.

How long after antibiotics can a child be contagious?

Generally, the infection is contagious until the scabs come off or the rash disappears. ( 7) But Bisgard says the child is no longer contagious 24 hours after starting antibiotics.

What is the best antibiotic for a sore on the body?

Instead, a doctor will likely recommend a topical antibiotic, such as mupirocin, retapamulin, or fusidic acid. (1) It should be applied directly to the sores on the body. Your doctor might suggest soaking the scab first so the antibiotic can really get down into the skin. ( 4)

How to tell if you have impetigo?

The first signs of impetigo are reddish sores on the skin, often clustered around the nose and lips. These sores quickly grow into blisters, ooze and burst, and then form a yellowish crust. The clusters of blisters may expand to cover more of the skin. Sometimes the red spots just develop a yellowish crust without any blisters being seen.

What age group is most likely to develop impetigo?

Toddlers are the most likely age group to develop impetigo. The infection looks different on young children than it does on adults. Parents may see sores around their child’s nose and mouth, as well as on the trunk, hands, feet, and in the diaper area.

What is impetigo caused by?

Impetigo is an infection caused by strains of staph or strep bacteria. These bacteria can get into your body through a break in the skin from a cut, scratch, insect bite, or rash. Then they can invade and colonize.

Is ecthyma more serious than impetigo?

It occasionally happens when impetigo isn’t treated. Ecthyma goes deeper into the skin than the other forms of impetigo, and it’s more severe.

Can adults get impetigo?

Although impetigo is more common in young children, adults can get it too. Because it’s so contagious, impetigo can spread through any close contact. Adults who play sports often catch it from skin-to-skin contact.

Can essential oils be used for impetigo?

Essential oils are liquids extracted from plants. Dozens of essential oils have antibacterial properties. This suggests that essential oils may be useful for treating impetigo, though currently there is no research to support this.

Can you stay home with impetigo?

Children with impetigo should stay home until they are no longer contagious if the lesions can’t be reliably covered. Adults who work in jobs that involve close contact should ask their doctor when it’s safe for them to return to work.

How long does it take for impetigo to develop?

The incubation period of impetigo, from colonization of the skin to development of the characteristic lesions, is about 10 days. 1 It is important to note not everyone who becomes colonized will go on to develop impetigo.

How to prevent impetigo?

The spread of impetigo can be prevented by covering lesions, treating with antibiotics, and practicing good hand hygiene. Clothing, linens, and towels used by an infected person should be washed every day and not shared with others in the household.

What is Impetigo caused by?

Impetigo can be caused by Streptococcus pyogenes and Staphylococcus aureus. This page focuses on infections caused by S. pyogenes, which are also called group A Streptococcus or group A strep.

How is streptococcal impetigo spread?

Streptococcal impetigo is most commonly spread through direct contact with other people with impetigo. People with impetigo are much more likely to transmit the bacteria than asymptomatic carriers. Crowding, such as found in schools and daycare centers, increases the risk of disease spread from person to person.

What antibiotics are used for impetigo?

Antibiotic treatment, whether oral or topical, should be aimed at both bacteria that are associated with impetigo: group A strep and S. aureus. Topical antibiotics, mupirocin or retapamulin, may be used when there are only a few lesions, while oral antibiotics are used for multiple lesions. 1,2,3

What age group is most likely to get impetigo?

Risk Factors. Impetigo can occur in people of all ages, but it is most common among children 2 through 5 years of age. Scabies infections and activities that result in cutaneous cuts or abrasions (e.g., sports such as wrestling and football) increase the risk of impetigo.

Is impetigo more common in the summer?

In the United States, impetigo is more common in the summer. 1 The World Health Organization estimates that 111 million children in the developing world have streptococcal impetigo at any one time. 4 Higher rates of impetigo are found in crowded and impoverished settings, in warm and humid conditions, and among populations with poor hygiene.

What is impetigo skin?

What is impetigo? Impetigo is an infection of the skin. When it affects just the surface, it’s called superficial impetigo. Impetigo can also affect deeper parts of the skin. This is called ecthyma.

What causes impetigo on the face?

It’s caused by bacteria. It causes skin sores. The sores may be red and painful, and contain fluid called pus. They may drain and crust. Impetigo is usually treated with antibiotic cream, ointment, pills, or liquid. Keeping the skin clean may help to prevent the spread of impetigo.

How long after antibiotics can you return to school?

You can help to prevent impetigo and prevent it from spreading to others. The following may help: Keep your child out of daycare or school for 24 hours after starting antibiotic treatment. Your child can return after 24 hours. Cover any draining sores with bandages.

Is impetigo contagious?

Or it may occur where the skin was injured by a cut, scrape, or insect bite. Impetigo is most common in children from ages 2 to 5. It is contagious. This means it’s easily passed from one person to another. It can be spread around a household.

Can you use antibiotic cream for impetigo?

Prescription antibiotic cream or ointment. This is most often done for mild impetigo. Over-the-counter antibiotic cream or ointment is usually not advised. Antibiotic pills or liquid by mouth (oral). This is most often advised if your child has several areas of impetigo or ecthyma.

Is impetigo more common in adults?

Impetigo is more common in children, but adults may also have the infection . A child is more likely to get impetigo if he or she: Has close contact with to others with impetigo. Does not keep clean (poor hygiene) Is in warm, moist (humid) air. Has other skin conditions, such as scabies or eczema.

How to treat impetigo?

For the treatment of impetigo, it’s most likely that a doctor will prescribe an antibiotic ointment or cream that will be applied directly to the infected area and clear up the skin in a matter of days . In more severe cases, an oral antibiotic may be necessary.

How old is too old to get impetigo?

While this skin infection mainly affects children between the ages of 2 and 5, adults can also contract impetigo. Since impetigo primarily affects young children, a pediatrician is the first point of contact for many patients.

What is the best antibacterial for impetigo?

Antibacterials are limited in the range of pathogens that they can affect since this kind of drug can only kill bacteria. Altabax (retapamulin) is an antibacterial topical that may be prescribed for impetigo treatment, and it has mild side effects like redness, irritation, and itching.

What is impetigo in children?

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.

Why is impetigo so hard to treat?

Impetigo can also be caused by an MRSA infection, which will be more difficult to treat since this particular strain of bacteria is resistant to many traditional antibacterial medications that treat impetigo.

How to prevent bacterial infection?

To help prevent the spread of the bacterial infection, gently wash the skin with warm water and an antibacterial soap (preferably one without fragrance or other potential skin irritants). Use a new towel to dry the area after each wash to guard against reinfection. This cleansing can be performed several times a day.

What kind of doctor treats impetigo?

However, a patient may be referred to a dermatologist since they specialize in the treatment and diagnosis of infectious diseases of the skin and can be a valuable resource when it comes to the treatment of impetigo—especially in more severe cases.

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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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