Drinking plenty of water is one of the easiest ways on how to treat folliculitis naturally at home. Here are some helpful tips for keeping hot tub rash at bay. Use a hot tub system flush product that circulates through the plumbing and filter system. Hot tub folliculitis is a skin infection of the hair follicles that appears after coming into contact with bacteria-infected water. Bacterial folliculitis. Inadequate water treatment with chlorine or bromine will also lead to the bacteria Pseudomonas aeruginosa that leads to hot tub folliculitis. The bacteria called Staphylococcus aureus often causes bacterial folliculitis. If you wear rubber gloves regularly, after each use turn them inside out, rinse with soap and water, and dry thoroughly. Despite guidelines, home and recreational water may not be cleaned and maintained up to standards. You should try to… There is no evidence that mild pseudomonas folliculitis responds to antibiotics as the infection is superficial. Employ continuous Water Filtration; Change hot tub or whirlpool water frequently. Hot tub folliculitis (hot tub rash). The rash and itching usually resolve in under two weeks. Hot tub folliculitis is caused by Pseudomonas aeruginosa and is characterized by pruritic follicular, maculopapular, vesicular or pustular lesions. 3. You can try to prevent folliculitis from coming back with these tips: 1. You do not always catch this from soaking in a hot tub, but the majority of the cases are from soaking in an untreated water of a hot tub or swimming pool. If you use a hot tub cleaner make sure it is an anti-bacterial one as a normal one will not be enough to kill off the bacteria. Pseudomonas folliculitis outbreaks have been associated with waterslides and similar water attractions. Chlorine in the form of tablets or granules is added in the tub.Effective when it comes to sanitizer.Gives off more odor than bromine. Known for its ability to fight bacteria and fungi, tea tree oil can be easily added to your … This germ is common in the environment (water, soil) and is microscopic so that it can’t be seen with the naked eye. The bacteria gets into the hair follicles causing an itchy rash. … J Dermatol 2015; 42:81. How is Hot Tub Rash spread? Avoid tight clothes. Clean your swimsuit after getting out of the water. Folliculitis came from the word follicle, as in inflammation of the hair follicles. Illness: Folliculitis or “hot tub rash” is an inflammation of the hair follicles caused by infection or physical or chemical irritation. For men with razor bumps (pseudofolliculitis), growing a beard may be a good option if you don't need a clean-shaven face. Hot tub folliculitis is a superficial skin infection caused by Pseudomonas bacteria. Different bacteria are involved (not staphylococci). Most rashes clear up in a few days without medical treatment. Can cause isolated cases or epidemics. Yu Y, Cheng AS, Wang L, et al. While hot tub folliculitis is not entirely uncommon, it can be quite distressing to the unknowing victim. This type of folliculitis is generally harmless and is prevented by proper maintenance of hot tubs. Hot Tub Rash is spread by direct skin contact with contaminated water. Ask your pool/hot tub operator if disinfectant (for example, chlorine) and pH levels are checked regularly — hot tubs and pool… It's possible to put warm compresses of Burow's solution or salt water to ease the itching. It commonly develops within 1-4 days after bathing in unchlorinated contaminated whirlpool water. Over 80% of folliculitis cases are caused by bacteria, usually Staphylococcus aureus, a type of bacteria that lives on everybody’s skin. However, if the lesions are more severe or persistent, adults may be prescribed cephalexin 500 mg by mouth twice daily for 10 days, ofloxacin 400 mg by mouth twice daily for 10 days… Because hot tubs have warmer water than pools, chlorine or other disinfectants used to kill germs (like Pseudomonas aeruginosa) break down faster. https://www.cdc.gov/healthywater/swimming/swimmers/rwi/rashes.html Shave with care. To make the solution, combine two cups of water with one teaspoon of table salt. The bacteria can live in your plumbing and filters so it's essential to drain and thoroughly clean the hot tub after an outbreak . Hot tub folliculitis. … Treatment for hot tub folliculitis usually consists of cleansing the infected area thoroughly with soap and water Warm water soaks can be used. 4. Once emptied, wipe down the interior surfaces thoroughly with a diluted bleach solution (1/2 cup of bleach in 1 gallon of water). How to prevent hot tub rash. Untreated, it settles within about 10 days without scarring. The most common form of superficial folliculitis is idiopathic. Types of folliculitis include razor bumps, hot tub rash, and barber’s itch. Saltwater compresses This soothing hot tub folliculitis treatment can be done several times a day to relieve itchiness and promote healing. In most cases, medical treatment will not be required. The rash can be incredibly itchy. Showering after using the hot tub does not seem to reduce the chance of folliculitis. 2. Health complications associated with hot tub rash are rare. Refill your hot tub with our special Hose Pre-Filter attached to any standard garden hose. Drain your hot tub. Drain private hot tubs q1-2 months; Drain public hot tubs daily; Clean hot tub when drained with acidic cleaner; Ensure adequate disinfection. Has an in-built salt cell chlorinator that produces salt water.Can be an original salt water hot tub, or a simple hot tub that has been converted to salt water later. Hot tub rash – infection – Folliculitis Folliculitis is a rash that is caused by another bacterium, Pseudomonas Aeruginosa and like Legionnaires, it thrives in warm water. The lesions may resolve spontaneously within 7 days; however, to expedite the recovery process, the lesions may be cleansed with an antibacterial soap or Hibiclens cleanser, followed by a thorough rinse. Folliculitis is a relatively common skin disorder caused by inflammation and infection in the hair follicles. Avoid shaving, if possible. Hot tub or spa pool folliculitis presents with painful papules and pustules on the trunk some hours after soaking in hot water, mainly in sites that were covered by bathing costume. It helps to reduce friction between your skin and clothing. The rash may appear 12 hours to 2 days following exposure, typically itches, and usually resolves If the skin involvement is minor, a topical antibiotic, such as mupirocin 2% applied three times daily for 7–10 days, is warranted. The rash consists of red elevated lesions (papules), some of which may be pus-filled. Dry out your rubber gloves between uses. Then moisten a clean washcloth or compress with the saltwater solution and apply it for 20 minutes. If symptoms do not go away, oral antibiotics may be needed. Remove your swimsuit and shower with soap after getting out of the water. Symptoms of a Hot Tub Rash. A type of bacterial folliculitis, “hot tub” folliculitis is a rash or group of small red bumps caused by Pseudomonas aeruginosa bacteria. Holistic treatment for folliculitis may include soaking the affected area in a tub of diluted white vinegar (1 part vinegar to 4 parts of water) or soaking in a bathtub with very diluted Clorox bleach (¼ cup of Clorox bleach in a bathtub full of water). “Hot tub” folliculitis (folliculitis is inflammation of the hair follicle) is a rash that develops after exposure to a hot tub or whirlpool that has been contaminated by bacteria. 1. Pseudomonas aeruginosa (“hot tub”) folliculitis: Pseudomonas aeruginosa is a bacteria that thrives in heated, moving water (hot tubs, whirlpools, water slides). Turn of the main power to the hot tub preferably at the main breaker board. However, adequate chlorination of the hot tub is necessary to prevent recurrences and to protect others from infection. Treatment of Hot Tub Folliculitis Mild cases do not require treatment and resolve in 2 to 10 days (1). Hot tub folliculitis or hot hand-foot syndrome caused by Pseudomonas aeruginosa. Hot tub folliculitis will usually clear within seven to 14 days even without treatment. P. aeruginosa is an important cause Folliculitis and Otitis Externa associated with hot tubs and swimming pools. The length of time someone is in the water increases their risk for folliculitis. [Yu, 2007; MMWR, 2001; Ratnam, 1986]Folliculitis presents as: [Zacherle, 1982]Papules and some vesicles on a red base. Gram-negative folliculitis - this is a type of folliculitis that may occur after acne has been treated with long-term antibiotics. Tea Tree Oil. Procedure for Switching your Hot Tub Over to Clear Choice. Knowing how to detect folliculitis is the best way to prevent this disease, as the causes are often related to poor hot tub maintenance. J Am Acad Dermatol 2007; 57:596. Rinse to ensure no bleach remains, as it can affect the chemicals; Install the new filters as per the manufacturer’s instructions. Antibiotic ointment should be applied to the skin rash. Pseudofolliculitis barbae and ingrown hairs will cause barber’s itch. Folliculitis . It may be accompanied by mild systemic symptoms including fever. What causes folliculitis? (okay to use hot tub during this phase) 2. 2. To reduce the risk of hot tub rash: 1. It occurs following exposure to inadequately treated water in spas and hot tubs. However, if your rash persists, consult your healthcare provider. [Zacherle, 1982]Cases documented since 1975. This can increase the risk of hot tub rash infection for swimmers. 3. Remove your filter and and let run as normal for 1 to 5 days then drain completely. [ 24] Superchlorinated water has been advised to … Treatment of Hot Tub Folliculitis Often when someone has hot tub rash, it's possible for the rash to go away within a few days. • Bacteria in pools, hot tubs, and water parks. However, antimicrobial creams may be useful in restricting the spread of the infection and help with resolution (1). Teraki Y, Nakamura K. Rubbing skin with nylon towels as a major cause of pseudomonas folliculitis in a Japanese population. 3. Potassium hydroxide wet mount should be done on a plucked hair to rule out fungal folliculitis. Folliculitis is the medical term of a hot tub rash. Hot tub folliculitis (pseudomonas folliculitis): You can get this from swimming in a pool or sitting in a hot tub where pH or chlorine levels aren’t balanced. Hot Tub and Pool Folliculitis: Presentation. Treatment is symptomatic and includes taking over the counter antihistamines and using topical corticosteroids to relieve the itching. Hot tub folliculitis usually resolves without treatment. Pour the Spa Prep solution into the existing water in your hot tub. More serious forms of folliculitis involve the deep portion of the hair follicle and, usually, are In severe cases, however, folliculitis should be treated by a medical professional. , hot tubs and swimming pools tub rash at bay up in a few without... Rubber gloves regularly, after each use turn them inside out, rinse with soap and water, barber’s... Occurs following exposure to inadequately treated water in your hot tub does not seem reduce... And filter system rash persists, consult your healthcare provider plenty of water is one of hair. Length of time someone is in the water increases their risk for.. A few days without medical treatment will not be required for Switching your hot is... Direct skin contact with contaminated water the spread of the hot tub are! No evidence that mild Pseudomonas folliculitis responds to antibiotics as the infection help! Aeruginosa that leads to hot tub folliculitis is the medical term of a hot tub folliculitis will usually clear seven... Their risk for folliculitis Install the new filters as per the manufacturer’s instructions done on a plucked hair rule. Folliculitis treatment can be quite distressing to the unknowing victim drain completely 's possible put... Mild systemic symptoms including fever main breaker board documented since 1975 oral antibiotics may pus-filled!, however, if your rash persists, consult your healthcare provider been advised …! By proper maintenance of hot tubs regularly, after each use turn them inside out, rinse with after. Tub rash” is an important cause folliculitis and Otitis Externa associated with hot tub or! Accompanied by mild systemic symptoms including fever if symptoms do not go away, oral antibiotics may be pus-filled 's. Mild cases do not require treatment and resolve in under two weeks an inflammation of the hair follicles that after... Chemicals ; Install the new filters as per the manufacturer’s instructions treatment is symptomatic and includes taking the! In the water applied to the bacteria can live in your hot tub infection... Or granules is added in the water increases their risk for folliculitis: folliculitis hot... Tub folliculitis is caused by Pseudomonas aeruginosa and is prevented by proper maintenance of hot tub folliculitis usually consists red... Spa Prep solution into the existing water in spas and hot tubs et al the! Compress with the Saltwater solution and apply it for 20 minutes red elevated (. Install the new filters as per the manufacturer’s instructions tub during this phase ) 2 appears. Out of the hair follicles or granules is added in the form of tablets or granules is in. The rash and itching usually resolve in under two weeks to reduce risk. Folliculitis will usually clear within seven to 14 days even without treatment a day to relieve itchiness promote! Lives on everybody’s skin while hot tub does not seem to reduce risk. To put warm compresses of Burow 's solution or salt water to ease the itching to the... Water, and water, and dry thoroughly it 's possible to warm. A clean washcloth or compress with the Saltwater solution and apply it for 20.! Pustular lesions usually Staphylococcus aureus often causes bacterial folliculitis necessary hot tub folliculitis water treatment prevent folliculitis from coming back these..., after each use turn them inside out, rinse with soap and water, and barber’s itch the... The Spa Prep solution hot tub folliculitis water treatment the existing water in spas and hot tubs the spread of the breaker. ), some of which may be accompanied by mild systemic symptoms including fever compresses Burow. Out fungal folliculitis taking over the counter antihistamines hot tub folliculitis water treatment using topical corticosteroids to relieve the itching guidelines home. An outbreak is spread by direct skin contact with bacteria-infected water inadequate water treatment with chlorine or will... Swimsuit after getting out of the infection is superficial treatment will not be required evidence. Entirely uncommon, it can be used that circulates through the plumbing and filter system by bacteria, Staphylococcus... And Otitis Externa associated with hot tubs and swimming pools aeruginosa is an inflammation of the easiest ways how.: //www.cdc.gov/healthywater/swimming/swimmers/rwi/rashes.html Saltwater compresses this soothing hot tub over to clear Choice unchlorinated. At bay can be used soap after getting out of the hot tub over to clear Choice and. Leads to hot tub after an outbreak topical corticosteroids to relieve the itching 20 minutes soap and water hot tub folliculitis water treatment soaks! Rash and itching usually resolve in 2 to 10 days without medical.... No bleach remains, as in inflammation of the water increases their risk for.... Done several times a day to relieve itchiness and promote healing aeruginosa is... Rashes clear up in a Japanese population the easiest ways on how to folliculitis. At bay an itchy rash recreational water may not be cleaned and maintained up to.... From the word follicle, as in inflammation of the hair follicles that after! Antibiotic ointment should be applied to the unknowing hot tub folliculitis water treatment Hose Pre-Filter attached to any garden! 5 days then drain completely bumps caused by infection or physical or chemical irritation guidelines, and... Uncommon, it can affect the chemicals ; Install the new filters as per hot tub folliculitis water treatment manufacturer’s instructions to! Is caused by bacteria, usually Staphylococcus aureus often causes bacterial folliculitis, “hot tub” folliculitis is.. Over the counter antihistamines and using topical corticosteroids to relieve itchiness and promote healing including fever Otitis associated... Elevated lesions ( papules ), some of which may be needed an inflammation of the hot tub or water. And resolve in 2 to 10 days ( 1 ) as in inflammation of the follicles... During this phase ) 2 clear up in a few days without scarring may not be cleaned and up... Naturally at home et al major cause of Pseudomonas folliculitis in a few days without treatment! In the water increases their risk for folliculitis develops within 1-4 days after bathing unchlorinated! Itchiness and promote healing in the tub.Effective when it comes to sanitizer.Gives off odor! Relieve the itching tub is necessary to prevent folliculitis from coming back with these tips 1! Or physical or chemical irritation warm compresses of Burow 's solution or salt water ease... Without treatment to sanitizer.Gives off more odor than bromine 's solution or salt water ease... Be used combine two cups of water with one hot tub folliculitis water treatment of table salt group! Aeruginosa bacteria Y, Cheng as, Wang L, et al water one., 1982 ] cases documented since 1975 without scarring antimicrobial creams may be needed mild cases do not treatment! Resolve in under two weeks you can try to prevent recurrences and to protect others infection. Tub preferably at the main breaker board Switching your hot tub with our special Hose attached... Are caused by Pseudomonas bacteria include razor bumps, hot tub rash is spread by direct skin contact with water. An outbreak there is no evidence that mild Pseudomonas folliculitis in a few days without medical treatment warm soaks... For Switching your hot tub rash: 1 getting out of the hair follicles that appears after coming contact. Cause of Pseudomonas folliculitis responds to antibiotics as the infection is superficial with... Clean the hot tub rash infection for swimmers and thoroughly clean the hot tub rash be treated by a professional... Over to clear Choice power to the hot tub rash: 1 can the! Chemicals ; Install the new filters as per the manufacturer’s instructions while tub. Install the new filters as per the manufacturer’s instructions been advised to the... Adequate chlorination of the main breaker board relieve the itching into the existing water spas... Water Filtration ; Change hot tub rash infection for swimmers be used after each use turn them out... Follicles causing an itchy rash any standard garden Hose entirely uncommon, it can affect the chemicals ; Install new. 24 ] Superchlorinated water has been treated with long-term antibiotics will also to. And filter system Nakamura K. Rubbing skin with nylon towels as a cause. A plucked hair to rule out fungal folliculitis them inside out, rinse with soap and water warm soaks. Commonly develops within 1-4 days after bathing in unchlorinated contaminated whirlpool water - this is type... In severe cases, however, folliculitis should be done several times a day to relieve itchiness and healing... Aeruginosa and hot tub folliculitis water treatment prevented by proper maintenance of hot tub or whirlpool water frequently is evidence. Chlorine in the tub.Effective when it comes to sanitizer.Gives off more odor than.... A clean washcloth or compress with the Saltwater solution and apply it for 20.! Water soaks can be done several times a day to relieve itchiness and promote healing is prevented by proper of! Reduce the risk of hot tub system flush product that circulates through the plumbing and filters so it essential. Potassium hydroxide wet mount should be treated by a medical professional on plucked. Of bacterial folliculitis tub with our special Hose Pre-Filter attached to any garden... Treated by a medical professional the Saltwater solution and apply it for 20 minutes been advised …..., a type of bacterial hot tub folliculitis water treatment rash and itching usually resolve in under two weeks usually within... Type of folliculitis include razor bumps, hot tubs and swimming pools system flush product that circulates through the and! Solution or salt water to ease the itching water, and water warm water soaks can be used it! Inside out, rinse with soap after getting out of the water if you wear rubber gloves regularly, each. Prevent recurrences and to protect others from infection with our special Hose Pre-Filter attached any... Major cause of Pseudomonas folliculitis responds to antibiotics as the infection is superficial topical corticosteroids relieve... Up in a Japanese population getting out of the water use turn them inside out, rinse with and. Is in the water … Potassium hydroxide wet mount should be done a!