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Assessment form for Impetigo

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Please select an appropriate time for the pharmacist to conduct a video consultation with you to review your condition.

Name(Required)

PHARMACY FIRST ASSESSMENT FORM: Impetigo.

Are you experiencing any of the following symptoms, which could indicate a serious condition such as sepsis?

  • Signs of widespread infection
  • Feeling systemically unwell
  • Experiencing confusion or disorientation
  • Having a raised heart rate
  • Experiencing raised respiratory rate or breathlessness
Choose one on the base of symptoms(Required)

If you are experiencing, or have experienced any of the above conditions in this period of illness please visit your local accident and emergency center (A&E) IMMEDIATELY.

You can find your nearest A&E by clicking on this link.
ALTERNATIVELY, IN AN EMERGENCY PLEASE CALL 999 IMMEDIATELY.

IF YOU WOULD LIKE TO DISCUSS THE CONDITION WITH THE PHARMACIST, PLEASE CALL 01204 456390.
Gender(Required)
MM slash DD slash YYYY
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Unfortunately, this service is NOT AVAILABLE.

Treating impetigo in children under one year old through Pharmacy First is not recommended. Infants' sensitive skin and developing immune systems require careful medication choice, and diagnosing impetigo accurately demands specialised healthcare expertise. Young infants face a higher risk of complications and may need an in-depth health assessment. Parents also benefit from detailed advice on managing the condition, which exceeds the scope of service through Pharmacy First.

PLEASE CONTACT YOUR GP TO MAKE AN APPOINTMENT.

IF YOU WOULD LIKE TO DISCUSS THE CONDITION WITH THE PHARMACIST, PLEASE CALL 01204 456390.
Is the patient pregnant and under the age of 16?(Required)
If you think that the patient may be pregnant please consider the following symptoms:
In the first six weeks of pregnancy, you might notice these early signs:

1. Missed Period: Often the first indicator, especially if your cycle is usually regular.
2. Nausea or Morning Sickness: Can start early, not just in the morning.
3. Breast Changes: Swelling, soreness, or tenderness may occur.
4. Fatigue: Increased tiredness due to hormonal changes.
5. Frequent Urination: You might need to use the bathroom more often.
6. Mood Swings: Emotional changes are common due to hormonal shifts.

Remember, signs can vary and aren't conclusive proof of pregnancy. For confirmation, a pregnancy test and medical consultation are recommended.

SORRY YOU ARE NOT ELIGIBLE FOR TREATMENT UNDER THE PHARMACY FIRST SERVICE.

Pregnant women under 16 cannot be treated for shingles through the Pharmacy First service due to the need for specialised care. Pregnancy requires careful consideration of medication safety for both the mother and foetus.

PLEASE CONTACT YOUR GP TO MAKE AN APPOINTMENT.

IF YOU WOULD LIKE TO DISCUSS THE CONDITION WITH THE PHARMACIST, PLEASE CALL 01204 456390.
Does the patient have “Bullous Impetigo?”(Required)
Bullous impetigo symptoms start with the development of fluid-filled blisters (bullae), typically found on the torso between the waist and neck, or on the limbs. These blisters, ranging from 1cm to 2cm in diameter, can spread rapidly and are likely to burst within a few days, leaving behind a yellow crust that generally heals without scarring.

The blisters might cause pain, and the skin around them could feel itchy. Similar to non-bullous impetigo, it's crucial to avoid touching or scratching the affected skin areas.

Fever and swollen glands are symptoms that occur more frequently with bullous impetigo.

For more details on bullous impetigo, including images that illustrate typical symptoms, please click on the link provided.

WE ARE SORRY, YOUR CONDITION CANNOT BE TREATED ON THE PHARMACY FIRST SERVICE.

Bullous impetigo is not treated through Pharmacy First due to its severity and potential complications. This condition requires accurate diagnosis, often involving systemic symptoms like fever, which can be mistaken for other skin issues. It demands close medical supervision for effective treatment beyond what Pharmacy First offers. Additionally, impetigo's contagious nature necessitates detailed hygiene and care instructions to prevent spread, best managed by healthcare professionals. Given these factors, individuals with symptoms of bullous impetigo should consult their GP for proper diagnosis and treatment.

IF YOU WOULD LIKE TO DISCUSS THE CONDITION WITH THE PHARMACIST, PLEASE CALL 01204 456390.
Has the patient had 2 or more episodes of impetigo in the last 12 months?(Required)

Recurrent impetigo requires treatment beyond the Pharmacy First service due to its complexity, indicating underlying health issues that may need thorough evaluation. Specialised treatment, beyond standard antibiotics, may be necessary to address the root causes. Recurrent cases also raise concerns about infection control and the risk of antibiotic resistance, requiring careful management by healthcare professionals. A comprehensive approach, possibly involving specialists, is essential to effectively treat recurrent impetigo and prevent further episodes. Therefore, individuals with recurrent impetigo should consult their GP for a detailed assessment and tailored treatment plan.

Impetigo Symptom Checklist for Screening

Please check if the following symptoms apply to the individual in question

  • They have observed an initial lesion that appears as a very thin-walled blister on a red base, which easily ruptures and is rarely seen.
  • The fluid from the lesion has dried to form golden yellow or yellow-brown crusts, which have gradually thickened over time.
  • Lesions could appear anywhere on the body but are most commonly found on exposed areas such as the face (around the mouth and nose), limbs, and body folds (like the armpits).
  • Additional spots have been noticed forming near the original lesion, possibly due to spreading the infection by touching.
  • The lesions are usually not painful but may cause mild itching.


For more details on impetigo, including typical symptoms, please click on the link provided.
Do you have any from the above?(Required)

If symptoms do not match the typical progression of impetigo, such as the presence of thin-walled blisters that rupture to form golden yellow crusts, primarily on exposed areas of the body, it's less likely to be impetigo. Key features like specific lesion appearance, location, and mild itching without severe pain are distinctive for impetigo. The absence of these signs suggests another skin condition might be responsible. Conditions like eczema, psoriasis, or other infections can mimic some impetigo symptoms but differ in key aspects, requiring different treatments. Therefore, a lack of characteristic impetigo features warrants evaluation by a healthcare professional for an accurate diagnosis and appropriate treatment.

IF YOU WOULD LIKE TO DISCUSS THE CONDITION WITH THE PHARMACIST, PLEASE CALL 01204 456390.

Are you experiencing any of the following symptoms, which could indicate a serious condition such as sepsis?

  • Signs of widespread infection
  • Feeling systemically unwell
  • Experiencing confusion or disorientation
  • Having a raised heart rate
  • Experiencing raised respiratory rate or breathlessness
Choose one on the base of above symptoms(Required)

If you are experiencing, or have experienced any of the above conditions in this period of illness please visit your local accident and emergency center (A&E) IMMEDIATELY.

You can find your nearest A&E by clicking on this link.
ALTERNATIVELY, IN AN EMERGENCY PLEASE CALL 999 IMMEDIATELY.

IF YOU WOULD LIKE TO DISCUSS THE CONDITION WITH THE PHARMACIST, PLEASE CALL 01204 456390.
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