- In the absence of signs of infection, antimicrobials do not improve skin condition but risk drug-related adverse events and promote antimicrobial resistance development.
- If significant superinfection is present, manage as impetigo.
- Patients with bacterial superinfection which does not respond to treatment or which is recurrent should be referred to a dermatologist.
- Cases of eczema herpeticum (generalised herpes simplex virus infection) should be referred for urgent admission.
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