Dermatology
Impetigo
Multiple watery pustular lesions that spread over a few days, treated with a topical antibacterial cream and an antihistamine, with strict separation of towels, soap and clothes.
- ICD-10
- —
- Source
- OPD handbook p.108
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- Multiple watery lesions that spread (2 days in the sample)
Diagnosis
- Pustules, multiple, on examination
Treatment
Step 1 of 3
1. Topical treatment
Prescription
Fasil cream (generic not written in the book)Topical antibacterial (impetigo)
DoseApply to the affected site morning and evening
Brand Fasil cream
5 days (sample)
Also sold as Fasil, Fusil
Step 2 of 3
2. Antihistamine
Prescription
CetirizineAntihistamine
Dose1 tsf at night
Brand Syp Sedil 2.5 mg/5 mL
5 days (sample)
Also sold as Rigix, Sedil, Antial, Neo-Antial, Cetrix, Zyrtec
Step 3 of 3
3. Counselling (Urdu notes)
- Keep the towel, soap and clothes of the patient separate
- Avoid blankets (kambal)
Sample prescription from the book (patient details removed)
- Female, 10 y, multiple watery lesions spreading for 2 days; pustules multiple: Fasil cream applied morning and evening on affected site; Syp Sedil (cetirizine) 2.5 mg/5 mL 1 tsf at night for 5 days; keep towel, soap and clothes separate; avoid blankets.