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Impetigo

Impetigo is a highly contagious bacterial skin infection that most often affects young children, but it can occur at any age. It causes red sores, blisters and a honey-colored crust on the skin. 

At Banner Health, we provide fast diagnosis and effective treatment to stop the infection, prevent spread and protect your family. 

What is impetigo? 

Impetigo is a common skin infection caused by bacteria, usually: 

  • Staphylococcus aureus (staph) 
  • Streptococcus pyogenes (group A strep) 

These bacteria enter the skin through small cuts, scrapes, insect bites or skin conditions like eczema. In some cases, impetigo can develop on healthy skin without an obvious break. 

Impetigo spreads easily in: 

  • Daycare centers 
  • Schools 
  • Sports teams 
  • Households 

It is most common in children ages 2 to 5. 

What does impetigo look like? 

Impetigo often begins as small red spots that quickly turn into blisters or sores. 

Common signs include: 

  • Red sores around the nose and mouth 
  • Blisters filled with fluid 
  • Honey-colored crust after sores burst 
  • Itching or mild soreness 
  • Swollen lymph nodes in some cases 

The rash may spread if scratched. 

Because impetigo can look like cold sores, eczema, ringworm or other rashes, it’s important to get an accurate diagnosis. 

Impetigo vs cold sores vs eczema: How to tell the difference 

Impetigo can look similar to other common skin conditions. Here’s how they differ: 

Impetigo 

  • Caused by bacteria 
  • Forms red sores or blisters that burst and create a honey-colored crust 
  • Often appears around the nose and mouth 
  • Spreads easily through contact 
  • Requires antibiotic treatment 

Cold sores

  • Caused by the herpes simplex virus 
  • Appear as small, painful fluid-filled blisters 
  • Often start with tingling or burning before the blister appears 
  • Usually recur in the same location 
  • Treated with antiviral medication, not antibiotics 

Eczema (atopic dermatitis) 

  • A chronic inflammatory skin condition 
  • Causes dry, itchy, inflamed patches 
  • Does not form thick honey-colored crusts unless infected 
  • Not contagious 
  • Managed with moisturizers and anti-inflammatory treatments 

If you’re unsure what type of rash you or your child has, a health care provider can make an accurate diagnosis and recommend the right treatment. 

Types of impetigo 

Non-bullous impetigo (crusted impetigo) 

This is the most common form. It causes small blisters that burst and form a thick yellow or honey-colored crust. It usually affects the face, hands and arms. 

Bullous impetigo 

This type causes larger fluid-filled blisters that may stay intact longer before breaking. It often appears on the trunk, arms or legs. 

Ecthyma 

A deeper, more severe form that causes painful sores that may scar. It most often affects the lower legs. 

How does impetigo spread? 

Impetigo spreads through: 

  • Skin-to-skin contact 
  • Sharing towels, bedding or clothing 
  • Touching contaminated surfaces 
  • Scratching infected areas 

It spreads quickly in warm, humid weather. 

How long is impetigo contagious? 

Impetigo is contagious: 

  • Until 24 hours after starting antibiotics 
  • Or until sores have completely dried and crusted over if untreated 

Children can usually return to school or daycare 24 hours after starting antibiotic treatment, as long as sores are covered when possible. 

Who is at risk for impetigo? 

Risk factors include: 

  • Young age 
  • Cuts, scrapes or insect bites 
  • Eczema or other skin conditions 
  • Warm, humid climates 
  • Contact sports 
  • Weakened immune system 
  • Living in close quarters 

How is impetigo diagnosed? 

A health care provider can usually diagnose impetigo by examining the sores. 

In some cases, a sample of fluid may be tested to determine which bacteria are causing the infection and which antibiotic will work best. 

How is impetigo treated? 

Impetigo is treated with antibiotics. 

Topical antibiotics 

For mild cases, prescription creams or ointments such as mupirocin are applied directly to the sores. 

Oral antibiotics 

For more widespread or severe infections, oral antibiotics may be prescribed. 

It is important to complete the full course of antibiotics, even if symptoms improve. 

Can essential oils treat impetigo? 

Essential oils and natural remedies are sometimes promoted online for treating skin infections. However, impetigo is a bacterial infection, and antibiotics are the recommended treatment. 

There is not enough high-quality medical evidence to show that essential oils can cure impetigo. Using them instead of antibiotics may allow the infection to spread or worsen. 

If you are considering a natural product, talk with your health care provider first. Some oils can irritate the skin, especially in children. 

Home care for impetigo 

Along with antibiotics: 

  • Gently wash sores with soap and water 
  • Keep the area clean and dry 
  • Cover sores loosely with a bandage 
  • Trim fingernails to prevent scratching 
  • Wash hands frequently 
  • Wash clothing, towels and bedding in hot water 

Most cases improve within 7 to 10 days with treatment. 

Can impetigo go away on its own? 

Mild impetigo may improve without treatment, but antibiotics: 

  • Shorten how long you are contagious 
  • Speed healing 
  • Reduce the risk of complications 
  • Help prevent spreading to others 

Medical treatment is recommended. 

Possible complications of impetigo 

Complications are rare but may include: 

Seek medical care if symptoms worsen or do not improve. 

How to prevent impetigo 

To reduce spread and prevent recurrence: 

  • Wash hands often 
  • Avoid sharing personal items 
  • Clean minor cuts and scrapes promptly 
  • Cover wounds during sports 
  • Keep fingernails short 
  • Stay home from school or daycare until treated 

When to see a doctor for impetigo 

Contact your provider if: 

  • Sores are spreading quickly 
  • Fever develops 
  • Pain worsens 
  • The infection is not improving after 2–3 days of treatment 
  • You notice signs of a deeper infection 

Impetigo care at Banner Health 

Our providers diagnose and treat impetigo quickly to relieve discomfort and stop the infection from spreading. We also help families understand how to protect others in the home and prevent future infections. 

Schedule an appointment to get expert care for impetigo.