How do I look out for signs of infection?

Your doctor or nurse should give you a written plan of what to do if your child's eczema does become infected.

Children with eczema do not have the same natural protective barrier as children who don't have eczema, which means their skin is more likely to become infected. By looking out for the signs of infection you can get the medical support you need, when you need it. There are two main types of infection:

Bacterial infections

These are usually caused by the bacteria staphylococcus and/or streptococcus and are easily treated with antibiotics. Your child can take these by mouth or applied as a medicated cream.

What will my child's skin look like?
  • Weepy
  • Scabby
  • Spots containing or discharging pus
How will their eczema be affected?

It is unlikely to respond to their current treatment

Or it may be getting rapidly worse

Will they feel unwell?

Yes, they may feel:

  • Feverish
  • Generally unwell
What should I do?

Contact your GP surgery to make an appointment

Tell them you suspect your child has a bacterial infection

Viral infections

Like bacteria, there are many different viruses that can cause an infection. The most important one to look out for is called Eczema herpeticum, which is caused by the herpes virus, the virus that also causes cold sores. It needs to be treated very quickly so the infection does not spread.

What will my child's skin look like?
  • Clusters of blisters like early cold sores
  • Circular ulcers 1-3mm across may join
    together to make a larger crusty ulcer
How will their eczema be affected?

It will be rapidly getting worse and painful

Will they feel unwell?

Yes, they will feel:

  • Feverish
  • Lethargic
  • Generally very unwell
What should I do?

Contact your GP surgery immediately and request an urgent appointment

Tell them that you suspect that your child has Eczema herpeticum

Top tip

If your child is using open containers of emollient, like a tub, this can become contaminated. If your child's eczema has been infected, you should throw away any open containers and get new ones. Why not ask your doctor, nurse or pharmacist for an emollient that comes in a pump dispenser, as this cannot become contaminated (unless you open it up!).


Reminder guide

Why not download our reminder guide on spotting the signs of infection


Code: 10/13 DIP.11.030 Date of preparation: October 2011