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Everything You Need to Know About Impetigo

Everything You Need to Know About Impetigo at The Kingston Pharmacy, Kingston upon Thames

What impetigo is, what causes it, how it spreads, and what treatment options may be available through NHS Pharmacy First.

What Is Impetigo?

Impetigo is a bacterial skin infection that affects the outer layers of the skin.


It commonly causes red sores, small blisters, oozing skin lesions, and yellow or golden-brown crusts.

Common symptoms

  • Red sores
  • Small blisters
  • Oozing skin lesions
  • Yellow or golden-brown crusts
Common areas affected

  • Around the nose
  • Around the mouth
  • The face
  • Hands, arms, and legs

Although impetigo is most common in children, adults can also develop the infection.


Because it spreads easily through contact, outbreaks can sometimes occur within households, schools, nurseries, and other settings where people are in close contact.

What Causes Impetigo?

Impetigo is usually caused by bacteria entering the skin through small breaks or areas of damage.

Common causes include

  • Cuts and grazes
  • Scratches
  • Insect bites
  • Eczema-affected skin
  • Other minor skin injuries

The bacteria most commonly responsible are Staphylococcus aureus and Streptococcus pyogenes.


Once the bacteria enter the skin, the infection can develop and spread to nearby areas.

What Does Impetigo Look Like?

Impetigo often starts as small red sores or spots. As the infection develops, these areas may change in appearance.

Form small blisters
Burst open
Release fluid
Develop yellow crusts

The crusts are often described as having a honey-coloured appearance. This distinctive appearance is one of the most recognisable signs of impetigo.


Some people experience only a small localised area of infection, while others may develop multiple lesions that spread over time.

Who Can Get Impetigo?

Anyone can develop impetigo, but some people are more likely to be affected.

Higher-risk groups include

  • Young children
  • People with eczema
  • Individuals with damaged skin
  • Those who have close physical contact with others
  • People living in crowded environments

Warm weather can also increase the likelihood of impetigo because bacteria tend to thrive in warm, humid conditions.

How Does Impetigo Spread?

Impetigo is highly contagious.

The infection can spread through

  • Direct skin-to-skin contact
  • Touching infected areas
  • Shared towels
  • Shared bedding
  • Shared clothing
  • Shared sports equipment

It can also spread to other parts of the body through scratching.


Because of this, good hygiene and prompt treatment are important in helping control the infection.

Is Impetigo Serious?

Most cases of impetigo are mild and respond well to treatment.


However, the infection can become troublesome because it spreads easily, can affect multiple family members, may continue to worsen without treatment, and can cause discomfort and irritation.

Impetigo can become troublesome because it

  • Spreads easily
  • Can affect multiple family members
  • May continue to worsen without treatment
  • Can cause discomfort and irritation

Although complications are uncommon, it is generally advisable to seek treatment rather than waiting for symptoms to worsen.

Can Impetigo Go Away on Its Own?

In some cases, impetigo may eventually improve without treatment.


However, untreated infections may last longer, spread to other areas of skin, spread to other people, and cause increasing discomfort.

Untreated infections may

  • Last longer
  • Spread to other areas of skin
  • Spread to other people
  • Cause increasing discomfort

For these reasons, treatment is often recommended when impetigo is diagnosed.


Prompt treatment can help clear the infection more quickly and reduce the risk of transmission.

Treatment Options for Impetigo

Treatment depends on the severity and extent of the infection.

A healthcare professional will assess

  • The appearance of the rash
  • The number of affected areas
  • How long symptoms have been present
  • Whether the infection is spreading

Treatment may be supplied where appropriate following assessment.


The most suitable option will depend on individual circumstances and current clinical guidance.


Our pharmacy team can explain what treatments may be available during your consultation.

How to Prevent Impetigo From Spreading

Simple hygiene measures can help reduce transmission.

Washing hands regularly

  • Good hand hygiene is one of the most effective ways to prevent spread.
Avoiding scratching

  • Scratching can transfer bacteria to other parts of the body.

Not sharing personal items

  • Towels
  • Bedding
  • Clothing
  • Face cloths
Keeping affected areas clean

  • Gentle skin care may help support recovery and reduce contamination.

Following these measures can help protect both the affected individual and those around them.

When Should You Seek Treatment?

You should seek advice if symptoms suggest impetigo or if the rash is spreading or worsening.

Seek advice if

  • You think the rash may be impetigo
  • Yellow crusts are developing
  • The rash is spreading
  • Symptoms are worsening
  • Multiple family members are affected
  • The diagnosis is unclear

Early assessment can help confirm whether impetigo is the cause and determine whether treatment may be appropriate.

How Pharmacy First Can Help

Under the NHS Pharmacy First service, trained pharmacists can assess eligible patients with suspected impetigo.

During your consultation, we may

  • Assess your symptoms
  • Examine the affected skin
  • Determine whether impetigo is likely
  • Supply treatment where appropriate
  • Provide advice on preventing spread
  • Identify when referral is needed

Many patients can access assessment and treatment directly through the pharmacy without needing a GP appointment.

What to Do Next

If you have noticed a spreading rash, crusting skin lesions, or the characteristic honey-coloured crusts associated with impetigo, do not ignore the symptoms.


Early assessment can help reduce the spread of infection and ensure you receive appropriate treatment.


Our pharmacy offers confidential NHS Pharmacy First consultations for impetigo and can assess whether treatment may be suitable for you.


If you are concerned about a possible impetigo infection, contact our pharmacy team and we will be happy to help.

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