Impetigo in Children

What is impetigo?
Impetigo is a common skin infection caused by bacteria (often Staphylococcus or Streptococcus). It usually appears as red sores, blisters, or honey-colored crusts, often around the nose, mouth, or arms and legs. It spreads easily by touch.

Treatment at Home

1. Cleaning the skin

   • Gently wash the affected areas with warm water and mild antibacterial soap.

   • Pat dry with a clean towel (do not share towels between family members).

2. Topical or oral antibiotics

   • Your child’s pediatrician may prescribe an antibiotic ointment or an oral antibiotic.

   • Use exactly as prescribed and finish the full course.

3. Bleach baths (to reduce skin bacteria)

   • Fill a bathtub with about 40 gallons (half a standard tub) of lukewarm water.

   • Add ¼ cup of regular household bleach (unscented, 6% strength).

   • Soak your child for 10–15 minutes, 2–3 times per week, unless told otherwise.

   • Rinse off with plain water and apply moisturizer after the bath.

4. Hibiclens (chlorhexidine) wash

   • For children over 2 months of age: can be used on the body (not the face or genitals).

   • Use 2–3 times per week in place of regular soap.

   • Rinse well with water.

5. Antibacterial soap

   • Daily bathing with a gentle antibacterial soap helps keep bacteria levels down.

   • Encourage good handwashing.

Optional Antimicrobial Measures

• Hypochlorous acid spray (HOCl) – safe, gentle, and antimicrobial. Can be sprayed directly on skin lesions or used after baths.

• Benzoyl peroxide wash (2.5–5%) – helpful for body use a few times per week (avoid eyes and genitals).

• Hydrogen peroxide 3% solution – can be dabbed gently on crusted areas before ointment application.

• Over-the-counter antibacterial ointments (like Polysporin; avoid neomycin-containing products due to risk of allergy).

• Tea tree oil washes – natural option, but must be diluted and avoided in sensitive skin.

(Note: Prescription mupirocin ointment may also be used if your pediatrician prescribes it.)

Preventing Spread

• Keep your child’s nails short to reduce scratching.

• Cover draining sores with clean bandages.

• Wash sheets, clothes, and towels in hot water.

• Do not share personal items (towels, washcloths, razors).

When to Call Your Pediatrician

• If new sores appear after starting treatment

• If your child develops fever, spreading redness, or swelling

• If sores are painful, draining pus, or not improving within a few days