<s>[INST] my 8 month old developed what was diagnosed as impetigo on her bottom/after using fuciden cream it cleared apart from one spot which quickly became swollen and developed into a deep abcess after a few days.she was admitted to hospital and was unwell with a high fever.after 4 days they brought her in for surgery and drained the abcess. they took a swab and it tested positive for mrsa.they gave her antibiotics to combat this for 24 hrs. since surgery she has been well apart from a lot of wind .its nearly 3 weeks since surgery and the wind is no better.also today i have noticed a couple of the same impetigo like spots on her bottom again.should i be concerned.i ave made an app with my gp for tomorrow. [/INST] Hello,welcome to HCM,Impetigo is an acute highly contagious disease affecting superficial layers of the epidermis and it is caused by Staphylococcus aureus and Group A beta hemolytic streptococci.Treatment of impetigo involves1.Local wound care with chlorhexidine or sodium hypochlorite will prevent the transmission of impetigo.2.Topical antibiotics cream like T Bact Ointment.3.Oral antibiotics covering both Staphylococcus aureus and Group A beta hemolytic streptococci.Thank you. </s>