Skip to Main Content Skip to Site Map Skip to Accessibility Statement Antibacterial preparations also used systemically

1st choice

Fusidic acid 2% cream
Sodium fusidate 2% ointment

Metronidazole 0.75% cream/gel

Prescribing notes

  • To avoid the development of resistance, fusidic acid should only be used for localised infections and not be used for longer than 7 days.
  • For acute impetigo, refer to Primary Care Antibiotic Guidelines (note hydrogen peroxide 1% is first line for localized non-bullous impetigo)
  • Topical antibacterials should be avoided in leg ulcers unless used for short courses for defined infections; treatment of bacterial colonization is generally inappropriate
  • Metronidazole gel is helpful for secondary infections of fungating tumours