Which option is NOT part of the standard impetigo return-to-participation criteria?

• A. No new skin lesions for 24 hours
• B. No new skin lesions for 48 hours, Completed at least 72 hours of antibiotics, No further drainage from wounds, Active infections may not be covered
• C. Completed at least 72 hours of antibiotics
• D. No further drainage from wounds

Answer: (B)

Impetigo return-to-participation criteria focus on stopping the spread and ensuring lesions are healing while under treatment. In practice, athletes are cleared after a period of antibiotic therapy and when there are no new lesions for a day or two, and when drainage has stopped and the existing lesions are drying or crusted. The thing that makes this option not part of standard criteria is the requirement to have completed at least 72 hours of antibiotics. Standard guidelines typically call for 24 to 48 hours of antibiotic therapy before clearance, not a fixed 72-hour minimum. The other elements listed—no new lesions for 48 hours and no further drainage from wounds—align with typical expectations, but the 72-hour antibiotic rule does not.