Treatment for impetigo includes all except?

Treatment for impetigo includes all
except?
a) Topical mupirocin
b) Systemic erythromycin
c) Topical gentamycin
d) Systemic cephalosporins
Correct Answer - C
Ans. C. Topical gentamycin
[Ref IADVL 3rd/e p. 235]

  • “Topical use of gentamycin should be avoided as gentamycin
    resistance can develop and it can be transferred between different
    species and strains of staphylococcus.”
    Treatment of impetigo
  • Impetigo contagiosum
  • Localized 4 Topical antibiotics like fusidic acid or mupirocin
  • Extensive - Systemic antibiotics (erythromycin group to cover
    staphylococcus and streptococcus).
  • If response is poor, oxacillin-Clavulanic acid or cephalexin can be
    tried.
    Bullous Impetigo
  • Localized→ Topical fusidic acid or mupirocin
  • Extensive 4 Systemic antistaphylococcal antibiotics (flucloxacillin,
    amoxicillin- clavulanic acid, methicillin or erythromycin)