For pseudomonas "Hot Tub" folliculitis, what is the typical first line treatment?

Hot tub folliculitis is commonly caused by Pseudomonas aeruginosa and typically appears after exposure to contaminated water in hot tubs. The characteristic symptoms include itchy, red papules or pustules that develop in areas where the skin was submerged. In most cases, this condition is self-limiting, meaning it resolves on its own without the need for medical intervention.

A significant aspect of the management of hot tub folliculitis is that it usually does not require antibiotics because the immune system can effectively clear the infection in healthy individuals. Patients are often advised about proper hygiene and care to alleviate symptoms, and the lesions generally improve within a week or so with minimal intervention. The emphasis here is on observation and supportive care rather than aggressive pharmacologic treatment.

In certain scenarios, particularly in individuals with compromised immune systems or more severe cases, oral antibiotics may be considered; however, this is not the typical course of treatment for otherwise healthy individuals. Therefore, recognizing the self-limiting nature of the condition is crucial in understanding why watchful waiting and simple supportive measures are often sufficient.