Print Print
CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.

Impetigo - Management
When should I refer a person with impetigo?

  • Referral is rarely necessary. Consider referring to a dermatologist or paediatrician if:
    • The diagnosis is uncertain (see Differential diagnosis).
    • There is severe extensive impetigo (possibly with systemic symptoms).
    • Lesions are unresponsive to maximal treatment in primary care.
    • Impetigo recurs frequently.
  • If there is a significant local outbreak (for example in a nursing home or school), contact the local consultant in Communicable Disease Control.

© NHS Institute for Innovation and Improvement