Doctor insights on:
Hot Tub Folliculitis In Children
Uncleaned hot tub.:
Hot tub folliculitis is an infection of the hair follicles. The bacteria causing the infection is called pseudomonas aeruginosa, and is associated with skin contacting bacteria-contaminated water in hot tubs or whirlpools. The infection is treated with antibiotics.
The cdc has an excellent facts website all on the subject of hot tub rash. ...Read more
Topical & Systemic: Pseudomonas folliculitis is classically associated with hot tube use and improper chlorination of the water. Treatment can be topical using Acetic Acid (vinegar) soaks or other agents. Systemic treatment is often centered around oral antibiotics. Sometimes people will carry the bacteria in the nose and eradication there will cure the problem. See a dermatologist to help with management. ...Read more
Hot tub maintenance: Hot tubs need careful maintenance and attention to chlorine levels and ph. Because the water is hot, chlorine levels need to be fairly high and checked frequently, otherwise bacteria in the water can grow. Showering prior to getting into a hot tub can also reduce contamination. If you are not responsible for the hot tub maintenance, there is no way to tell if it is being done properly. ...Read more
Tincture of time: Hot tub folliculitis shows up 8-48 hours after exposure and will resolve on its own over the course of a week. There is no specific treatment unless 1. Associated with systemic signs of illness. 2. Lesions are extensive or progressive or 3. There is large abcess formation. If these occur see your doc. Chlorinate your hot tub and pool properly! ...Read more
Yes. : Hot tub folliculitis is not contagious person to person. It resolves by itself and rarely needs any treatment. It is perfectly ok to breastfeed even though you have this. ...Read more
Pseudomonas rash: Hot tub folliculitis usually resolves spontaneously and doesn't need specific treatment. Vinegar compresses applied for 20 minutes two to four times a day, silver sulfadiazine cream (silvadene) applied two times a day or antibiotics such as Ciprofloxacin are only needed in widespread or resistant cases. Steroids may relieve symptoms but are unnecessary and risky. ...Read more
I have some very small hardly noticeable bumps on my chest and back (between my shoulder blades). I was in a hot tub a few days ago, but it was properly maintained and my rash looks nothing like the pictures of hot tub folliculitis. I am a runner, could i
Hot tub: I think if it was hot tub folliculitis the rash would be more extensive. This may be a localized reaction to a product or moisture. Keep it clean and continue to monitor the rash. All the best. ...Read more
Doctor diagnosed me with hot tub folliculitis. Got bumps 2 weeks after hot tub. Been itchy for almost 2 weeks. Could it be misdiagnosed scabies?
Possibly: But without seeing you and the ability to examine these lesions there is no way to make an accurate diagnosis. ...Read more
What is method to reduce pain and itching? My hot tub folliculitis has turned to cellulitis and I am on oral and I. V antibiotics. Thanks
See answer: Would be reluctant to apply any pain relieving cream or anti-itch lotion on an area of cellulitis. Tylenol (acetaminophen) or OTC NSAIDS for pain. If ineffective possibly tylenol (acetaminophen) with codeine or hydrocodone...both narcotics. OTC antihistamines for itch. Benadryl, but may be sedating.(ok at bedtime). Zyrtec(cetirizine) is the strongest less sedating antihistamine. ...Read more
A clean tub: Make sure that the tub water is properly chlorinated if you are using a public tub and be sure to take a shower after. ...Read more
Dr gave me doxycycline and prednisone for hot tub folliculitis. Took all the meds and now its back with a vengeance! How do I get rid of it? So itchy!
Derm consult: Get seen by a focused specialist. Things may not be as they seem, and the right Rx may still need to be found. ...Read more
Hi. I have a rash on shoulders and upper arms it has been 3 weeks since I noticed them what can it be, could it be hot tub folliculites?
Rash - not 1 disease: Rash is a common name, not a specific disease. To make a diagnosis, we need to know the shape of the rash, whether it itches, how long each individual lesion stays and if it leaves a scar when it resolves. Hot tub folliculitis usually looks like acne. In short, with a rash that stays that long, go either to your pmd or to a dermatogist. ...Read more
How many showers a day is too many? I have folliculitis and wonder if taking 3 per day is to many. I sweat a lot and it's hot here. I liketo be clean
Good hygiene: Three showers a day is normal in some parts of the world — such as in the tropics. If you have folliculitis then paying extra attention to cleanliness is important — so I think you are doing fine with frequent showers. I would just be careful with strong soaps — your skin will 'tell you' if it is irritated, then you'll know to back off. See if u can keep cool during the day to lessen the sweating. ...Read more
I have a 3 inch, hot, throbbing, swollen, red spot on my calf, I get mild folliculitis sometimes but this looks nothing like that, I am wondering if I should be worried or just let whatever this is run its course?
Hot tub: The biggest concern would be the water being too hot and causing burns. ...Read more
Depends: If it is due to an infectious agent then appropriate treatment (i.e. An antibiotic if it is due to a bacterium) should help within a few days of beginning treatment. Sometimes folliculitis can be caused by fungus which needs to be treated with different medications. Seeing a dermatologist will help you come to a good solution. ...Read more
Folliculitis.: Despite the fact that folliculitis is technically a bacterial infection of the follicles, we can often treat acute folliculitis with a simple warm soak to the area (warm water on a washcloth and applied for 15 minutes at a time, 2 to 3 times a day). If this does not help, one could try antibacterial creams, available over-the-counter. ...Read more
Which type?: Some physicians aren't familiar common pityrosporum folliculitis, one of the easiest of all semi-diseases to monitor. Bacterial-type folliculitis of the beard is a tricky problem to manage and is worth getting seen by a specialist. Chronic scalp folliculitis may require an antibiotic but resistant bacteria such as proteus can overgrow, again requiring specialist care. Do you know the subtype? ...Read more
Yes, but: It depends on how extensive the folliculitis is, and what has caused it. In my patients, if it is not extensive and the source of the folliculitis is controlled and deemed infectious in origin, I would recommend going to a pharmacy and getting otc, 4% Chlorhexidine soap and use it on the affected area once a day for seven days. If it hasn't cleared up, I ask my patients to call me immmediately. ...Read more