NHS Pharmacy First

    Impetigo

    Assessed by our pharmacy team under NHS Pharmacy First - no GP appointment needed for eligible patients.

    Impetigo is a very contagious skin infection, most common in young children but adults get it too. It often starts around the nose and mouth, but can appear anywhere skin has been broken - a cut, graze, insect bite or eczema flare.

    It spreads easily through close contact, sharing towels, or touching the sores, so quick treatment and good hygiene both matter.

    What impetigo looks like

    • Red sores or blisters, often around the nose and mouth
    • Sores that burst and leave honey-coloured or golden crusts
    • Itching or mild soreness around the patches
    • Patches that grow or spread over a few days

    How we can help

    Under NHS Pharmacy First, our pharmacist can assess impetigo and, where clinically appropriate, supply antibiotic cream or tablets without a GP appointment.

    You will also get practical advice on stopping it spreading: washing hands after touching the sores, using a separate towel, keeping sores covered where possible, and washing bedding and clothing at a high temperature.

    Treatment

    Small patches are usually treated with an antibiotic cream such as fusidic acid. Widespread impetigo may need antibiotic tablets. Children can return to school or nursery 48 hours after starting treatment, or once the sores have crusted and healed.

    Get urgent help if you have

    Contact your GP, NHS 111 or 999 if any of these apply
    • Sores that are spreading quickly or look worse despite treatment
    • A high temperature or feeling generally unwell
    • Redness that tracks away from the sore, or skin that is hot and swollen
    • Impetigo that keeps coming back

    Common questions

    Related reading

    Think you have impetigo?

    Book an NHS Pharmacy First assessment, or walk in and speak to our team.