Eczema with impetigo: what to know

Eczema weakens the skin barrier and itching can create tiny breaks. Bacteria can then enter and produce an infection over an existing flare. Look for new weeping, yellow or honey-coloured crusts, blisters, tenderness, or redness that extends beyond the usual eczema pattern. [Crusting Skin](/symptoms/skin-crusting/) explains this symptom, but crust alone does not identify the cause.

A healthcare professional may inspect the area, ask about spread and fever, and decide whether testing or prescription treatment is needed. Infection can occur alongside [Atopic Dermatitis](/conditions/atopic-dermatitis/), so both the eczema and the infected skin need a coordinated plan.

Arrange medical advice when impetigo is suspected, particularly if sores are multiplying or close to the eyes. Wash hands before and after touching the area, keep nails short, and gently cleanse without scrubbing. Do not share towels, pillowcases, cosmetics, or sports equipment, and wash used fabrics. Avoid picking crusts and avoid applying leftover antibiotics. Depending on the extent and location, a clinician may prescribe [Topical Antibiotic Therapy](/treatments/medical-dermatology/topical-antibiotic-therapy/) or [Antibiotics For Skin Infection](/treatments/medical-dermatology/antibiotic-therapy-for-skin-infection/).

Seek urgent medical advice for fever, marked pain, rapidly spreading redness, facial swelling, pus, or feeling significantly unwell. Get prompt assessment for sores near the eye, extensive blistering, or infection in a young child. If treatment has started but redness, swelling, or drainage worsens, contact the prescriber rather than changing the medicine yourself.

Does this look like impetigo on eczema? Is a swab needed? Which areas should receive treatment? How can I control the eczema while the infection heals? When can school, work, swimming, or close contact safely resume?