Spot Hot Tub Folliculitis Early: 5 Symptoms to Watch Out For 

Hot tub folliculitis is a skin infection that can cause an itchy, red rash, pus-filled blisters, and crusting and scaling of the skin. Learn to spot the early symptoms and how to prevent it.

What is Hot Tub Folliculitis?

It, also known as pseudomonas folliculitis, is a skin infection of the hair follicles caused by a type of bacteria called Pseudomonas aeruginosa. This bacteria can be found in warm, moist environments, such as hot tubs, swimming pools, and whirlpools.

Symptoms:

Symptoms typically appear within 1 to 2 days after exposure to the bacteria. The most common symptom is an itchy, red rash that develops on the trunk, buttocks, and thighs. The rash may also appear on the face and neck. Other symptoms include:

  • Small, pus-filled blisters.
  • Red, tender nodules.
  • Crusting and scaling of the skin.
  • Fever, in some cases.

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How to Prevent:

The best way to prevent hot tub folliculitis is to avoid exposure to contaminated water. However, there are a few other things you can do to reduce your risk, such as:

  • Showering immediately before and after using a hot tub
  • Avoiding sitting in a hot tub for longer than 30 minutes at a time
  • Using a hot tub that has been adequately maintained and sanitized
  • Avoiding hot tubs that are crowded or have cloudy water
A young man infected Hot Tub Folliculitis from unmaintained water.
A person with a skin condition relaxing in a hot tub.

Treatment for Hot Tub Folliculitis

It can be resolved on its own within 1 to 2 weeks. However, there are a few things you can do to speed up the healing process and relieve symptoms, such as:

  • Keep the area clean and dry. Gently wash the affected area with soap and water and pat it dry. Avoid using hot water, as this can irritate the skin.
  • Apply over-the-counter hydrocortisone cream. This can help to reduce itching and inflammation.
  • Take warm compresses. Soak a clean washcloth in warm water and apply it to the affected area for 15 to 20 minutes. This can help to soothe the skin and promote healing.

If the rash is severe or does not improve, your doctor may prescribe oral antibiotics.

Additional tips for treating:

  • Avoid shaving or scratching the affected area, as this can spread the infection.
  • Wear loose-fitting, comfortable clothing.
  • Avoid using harsh soaps and detergents.
  • Stay hydrated by drinking plenty of fluids.

See a doctor if you have any concerns about your symptoms or if the rash does not improve after 2 weeks.

Prevention

The best way to prevent this is to avoid exposure to contaminated water. Here are some tips:

  • Shower immediately before and after using a hot tub.
  • Avoid sitting in a hot tub for 30 minutes at a time.
  • Use a hot tub that has been adequately maintained and sanitized.
  • Avoid hot tubs that are crowded or have cloudy water.

You may be at increased risk if you have a weakened immune system. Be sure to take extra precautions to avoid exposure to the bacteria.

When to See a Doctor

You should see a doctor if you have any of the following symptoms:

  • A rash that is severe or does not improve after 2 weeks
  • An inflammation that is accompanied by a fever
  • Painful or tender nodules
  • Blisters that are open or draining pus

Hot tub folliculitis antibiotic

Most cases do not require antibiotic treatment, as the infection usually clears up within a week or two. However, some people may need antibiotics with severe or persistent symptoms, such as fever, pus-filled bumps, large or painful boils, or signs of a deeper skin infection. 

In these cases, your healthcare provider may prescribe oral or topical antibiotics, such as ciprofloxacin, gentamicin, or mupirocin.

To prevent this, you should avoid using hot tubs or pools that are improperly maintained or disinfected. After using any water facility, you should shower with soap and water and thoroughly wash your bathing suit and towel. 

If you have a hot tub at home, you should regularly check and adjust the pH and chlorine levels and drain and clean the tub every few months.

Disclaimer NOTE: The information in this blog post is intended for general awareness and should not be considered a substitute for professional medical advice. While most cases of hot tub folliculitis may resolve independently, individual experiences can vary.

It is crucial to consult with a qualified healthcare professional for personalized advice and guidance, especially if you are experiencing severe or persistent symptoms. The decision to use antibiotics or any medical intervention should be made in consultation with a healthcare provider.

Final Thoughts:

If you have any symptoms of hot tub folliculitis, it is crucial to see a doctor immediately. Early treatment can help to prevent the infection from spreading and worsening.

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Common Queries:

  1. Oral Antibiotics for Folliculitis: Commonly prescribed oral antibiotics for this condition include ciprofloxacin or doxycycline.
  2. Shaving with Folliculitis: It’s advisable to avoid shaving affected areas until the condition has healed to prevent further irritation.
  3. Aggravating Factors for Folliculitis: Folliculitis can worsen due to friction from tight clothing, excessive sweating, and exposure to contaminated water.
  4. Healing Time for Folliculitis: The healing time varies, but improvement is typically seen within a week of starting appropriate treatment.
  5. Showering with Folliculitis: It is generally okay to shower with folliculitis, but avoid using harsh soaps and ensure the affected areas are gently cleaned and dried.
  6. Pain in Folliculitis: Folliculitis can be accompanied by discomfort and itching, but it is not always intensely painful.

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