Very effective, but less tolerated than cephalexin. Transfer care to a neonatologist for neonates with bullous impetigo. Keep wounds clean. Wash hands after contacting lesions or infected patients. Infants may develop meningitis or sepsis.
Neonates have a much higher incidence of developing a more generalized infection and meningitis.
Complete resolution usually occurs in 7-10 days with treatment. Antibiotic treatment will not prevent or halt glomerulonephritis. Culture lesions to find resistant organisms if resolution has not occurred within 7-10 days. Children must not return to daycare or school before the lesions clear. Caretakers must know how to avoid infection.