Hot tub folliculitis

Hot tub folliculitis is a bacterial skin infection that people often experience after immersing themselves in a poorly maintained hot tub or swimming pool. Also known as “hot tub rash,” the condition is a specific form of folliculitis that is caused by the bacteria Pseudomonas aeruginosa. Capable of thriving in warm, wet environments, this bacteria infects exposed hair follicles and causes a bumpy red rash that may resemble acne. A relatively harmless infection, most cases of hot tub folliculitis eventually resolve on their own with little or no treatment at all. When treatment is required, simple home remedies or a prescription antibiotic usually suffice.

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Overview

Hot tub folliculitis is one of several common forms of folliculitis. The term folliculitis refers to a range of common bacterial or fungal skin infections that result in inflamed hair follicles. While individuals with mild folliculitis typically present with small red bumps or white-headed pimples that surround the affected follicles, more severe cases may lead to the appearance of larger, crusty sores or pus-filled blisters. Along with hot tub folliculitis, other common forms of folliculitis include barber’s itch, razor bumps, and shaving rash.

Hot tub folliculitis is a distinct type of folliculitis caused by the bacteria Pseudomonas aeruginosa. Its unique name come from the fact that infection with Pseudomonas aeruginosa most often occurs after one has bathed in a hot tub or swimming pool that has not been properly maintained. It is a common problem because Pseudomonas aeruginosa thrives in warm, wet environments and can survive even in chlorinated water. Exposure to Pseudomonas aeruginosa most commonly occurs on parts of the skin at the water line or in areas where swimwear meets the skin. While hot tub folliculitis can occur in anyone who is exposed to Pseudomonas aeruginosa, those who have a compromised immune system, who have acne or dermatitis, or who have recently shaved, waxed, or epilated may be especially susceptible.

The most common symptom of hot tub folliculitis is a red, bumpy rash that might be itchy. These bumps are sometimes filled with pus and may resemble acne. The rash first appears anywhere from a matter of hours to a few days after exposure occurs. Over time, the rash may progress into tender or painful dark red nodules. In some cases, individuals with hot tub folliculitis develop additional symptoms like fever, fatigue, headache, sore throat, nausea, or swollen lymph nodes.

Although most cases of hot tub folliculitis are mild enough to resolve on their own within about two weeks, certain home remedies can be used to speed up the process. Some of these remedies include applying warm compresses, applying anti-itching creams or lotions, using antibacterial creams, or treating the affected area with apple cider vinegar. In more severe cases, a doctor might prescribe topical antibacterial ointments or oral antibiotic medications. Hot tub folliculitis can be prevented by taking steps such as changing out of a wet bathing suit as soon as possible, carefully chlorinating pools and hot tubs, or regularly disinfecting or changing loofahs and bath poufs.

Bibliography

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“Folliculitis.” WebMD, 28 July 2020, www.webmd.com/skin-problems-and-treatments/what-is-folliculitis. Accessed 4 June 2021.

Gotter, Ana. “Hot Tub Folliculitis.” Healthline, 18 Sept. 2018, www.healthline.com/health/hot-tub-folliculitis. Accessed 4 June 2021.

“Hot Tub Folliculitis.” American Osteopathic College of Dermatology, 2021, www.aocd.org/page/HotTubFolliculitis. Accessed 4 June 2021.

“Hot Tub Folliculitis.” MedlinePlus, 2021, medlineplus.gov/ency/article/001460.htm. Accessed 4 June 2021.

“Hot Tub Rash.” CDC, 2021, www.cdc.gov/healthywater/swimming/swimmers/rwi/rashes.html. Accessed 4 June 2021.

Sissons, Beth. “Hot Tub Folliculitis: Everything You Need to Know.” Medical News Today, 18 Mar. 2019, www.medicalnewstoday.com/articles/324721. Accessed 4 June 2021.