Impetigo Warning: Highly Contagious Skin Infection Often Confused with Eczema
Impetigo: Contagious Skin Infection Mistaken for Eczema

A leading pharmacist from Superdrug has issued a stark warning about a highly contagious bacterial skin infection that is frequently mistaken for common conditions like eczema or chicken pox, potentially leading to delayed treatment and increased health risks.

Understanding Impetigo and Its Symptoms

Impetigo is a bacterial infection that manifests as red sores or blisters, typically appearing on the face. These sores can quickly develop into fluid-filled blisters that may rupture, forming a crusty layer over the affected area. This crust can be itchy or painful, and in some cases, children may experience a mild fever or general malaise.

The Dangers of Misdiagnosis

Niamh McMillan, Superdrug’s Pharmacy Superintendent, emphasised that impetigo is often misdiagnosed as other skin ailments such as eczema, cold sores, or chicken pox. While most cases are not serious and can resolve on their own, leaving impetigo untreated can lead to severe complications. These include cellulitis, a type of acute skin infection, deep soft tissue infections, and in rare instances, bloodstream infections like septicaemia. Additionally, scarring and conditions such as Scarlet Fever can arise if the infection is not properly managed.

Delaying treatment due to misdiagnosis allows the infection to spread across the body and to other individuals, exacerbating the situation. The infection is particularly common in young children, making parental vigilance crucial.

When to Seek Medical Advice

The NHS advises consulting a GP if symptoms of impetigo are observed, especially in specific scenarios:

  • Your child is aged 11 months or younger
  • You are breastfeeding and the sores are on your breasts
  • You have a weakened immune system
  • Treatment has been attempted but symptoms have worsened or changed
  • There has been a recurrence of impetigo within the past year

Additionally, signs that the infection may be spreading or worsening include swollen lymph nodes or tender, swollen skin around the infected areas. In such cases, immediate expert advice is recommended.

Treatment and Prevention Strategies

Treatment for impetigo typically involves antibiotic creams or tablets, which can be prescribed through services like Superdrug’s Pharmacy First. To aid recovery and prevent further spread, the pharmacist recommends:

  1. Gently cleaning the affected areas with mild soap and water before applying topical treatments, avoiding scrubbing to prevent skin irritation.
  2. Covering the sores with clean dressings to minimise scratching and protect the area from bacteria.
  3. Avoiding contact with others until symptoms improve, which may require staying home from work or keeping children out of school.

Impetigo is easily transmitted through skin-to-skin contact or by touching contaminated items like towels or bedding. According to the NHS, the infection ceases to be contagious 48 hours after starting hydrogen peroxide cream or prescribed antibiotics, or when the patches dry out and crust over if no treatment is administered.

By raising awareness and promoting early diagnosis, this warning aims to reduce the spread of impetigo and prevent serious health implications, ensuring better outcomes for those affected.