Folliculitis is the inflammation of hair follicles due to an infection, chemical irritation or physical injury. One of the most common type of folliculitis is called hot tub folliculitis, or pseudomonas folliculitis. Hot tub folliculitis is a folliculitis that develops after exposure to certain forms of bacteria that reside in warm, wet environments such as hot tubs.

How are Hot Tub Folliculitis Caused?

Hot tub folliculitis is caused by Pseudomonas aeruginosa and is characterized by pruritic follicular, maculopapular, vesicular or pustular lesions. It commonly develops within 1-4 days after bathing in unchlorinated contaminated whirlpool water. Systemic infections are rare.

Pseudomonas aeruginosa can grow in hot tub water that is not adequately treated with chemicals. When a person soaks in the water, the bacteria can enter the hair follicle. This causes an infection.

Hot Tub Folliculitis (Pseudomonas Folliculitis) Signs and Symptoms

Hot tub Folliculitis is a common problem in warm water pools and spas in particular. Fortunately the most common symptom is an itchy rash. It is often confused with bug bites (often complaints are received that a hotel has "bed bugs"), chicken pox, and other types of rashes. It can be much more serious too involving severe rashes requiring hospitalization, ear infections, urinary and vaginal infections, and probably most serious is pneumonia.

Hot tub folliculitis becomes noticeable within a day or two after its exposure. It first appears as itchy bumps -- some pus filled -- and may develop into dark red tender nodules . The rash may be denser under swimsuit areas where the material has held the contaminated water in contact with the skin for a longer period of time.

Treatment of 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. Antibiotic ointment should be applied to the skin rash. If symptoms do not go away, oral antibiotics may be needed. The person should not scratch the pustules. This can make symptoms worse.

Is Hot Tub Folliculitis contagious?

Yes, Hot Tub Folliculitis is contagious. It may spread from one person to another very easily. Persons suffering from hot tub folliculitis should wash their hands thoroughly. They should not share towels and washcloths with others. People with this condition should not use a hot tub until the infection has cured completely.

Some of the Prevention tips for Hot Tub Folliculitis

Continuous water filtration to eliminate dead skin.
Frequent monitoring of disinfectant levels.
Frequent changing of water.
Careful attention in controlling the pH and chlorine content of the hot tub may help to prevent hot tub folliculitis.