Impetigo, antibiotic use and hydrogen peroxide 1% cream

Image by James Heilman, MD

This is a new guideline from NICE on the use of antibiotics in impetigo. It was published in Feb 2020.

My key learning point from this is that we should now consider using hydrogen peroxide 1% cream as the first line in localised non-bullous impetigo.

Why the change in practice?