Hot tub folliculitis is a form of skin infection that develops around the lower regions of the hair follicles. It is brought about by certain forms of bacteria thriving in warm, moist areas. It can develop in any hot tub but the bacteria responsible are prone to thrive in wooden tubs.
In most cases, Pseudomonas aeruginosa is the main cause of hot tub folliculitis. The bacteria thrive in warm, damp areas. It can even survive in chlorinated waters.
What are the indications?
The main sign of hot tub folliculitis is a bumpy, reddened rash that can be itchy. The bumps can be filled with pus and strikingly resemble acne. The rash might form after a few hours or several days after exposure.
After it initially forms, the rash might form into dark reddened nodules that are painful or tender. It might form on the chest or in areas beneath the swimsuit where water and bacteria can be trapped longer.
Some individuals with the infection can feel a general feeling of being sick. In some cases, there is ear pain, sore throat, headache or nausea.
Management of hot tub folliculitis
For a mild case of hot tub folliculitis, it settles without treatment after 2 weeks while home remedies can hasten the healing.
The home treatments might include:
- Application of a warm compress to lessen the itchiness and promote better healing
- Anti-itch lotion or cream to reduce the discomfort
- Antibacterial cream to lower the risk for secondary infection
- Apply apple cider vinegar on the site either directly or soaking in a bath that contains the solution
If necessary, the doctor will prescribe drugs to fight the infection. This includes topical antibacterial ointments and oral or topical antibiotics to clear up the infection quickly.
What is the outlook?
Hot tub folliculitis can be treated. For a mild case, it settles on its own in 2 weeks or less with symptoms that subside after the first week. Home remedies can also help resolve the symptoms faster and promote healing.