The best way to kill bacteria in a hot tub is by using chlorine-based sanitization methods. Chlorine helps kill various germs, although it takes some time to act. When used properly, free chlorine can kill most germs within a few minutes. Free chlorine is the more active form of chlorine that kills germs. The Centers for Disease Control and Prevention (CDC) recommends a pH of 7.2-7.8 and a free chlorine concentration of at least 1 ppm (parts per million) in pools and at least 3 ppm in hot tubs or spas.
If using cyanuric acid (chlorine stabilizer) or chlorine products with cyanuric acid (such as the products commonly called dichlor or trichloro), the recommended pH is 7.2-7.8 and the free available chlorine concentration must be at least 2 ppm in pools. CDC recommends that cyanuric acid or chlorine products with cyanuric acid must not be used in hot tubs or spas. Contact local agencies to help with the proper disinfection of a hot tub or spa pool.
What is hot tub folliculitis?
Hot tub folliculitis, also called jacuzzi folliculitis or spa pool folliculitis, is a skin condition arising within hours to a few days after bathing with warm water in a jacuzzi, spa pool or warm water swimming pool. The infection is generally caused by a bacterium called staph or staphylococcus aureus. It may also be caused by other microbes, such as Pseudomonas or candida. Hot tub folliculitis can be rarely caused by another bacterium called Aeromonas, especially in people using a spa pool.
The bacterium, Pseudomonas aeruginosa, commonly infects the public hot tubs that are under-chlorinated. The condition is commonly called pseudomonas folliculitis. The bacterium can grow on bath toys or wet suits that have not been thoroughly washed and dried after previous use. Children are usually affected more than adults. Pseudomonas folliculitis is generally seen in people with low immunity, such as young children, undernourished people and those with HIV or diabetes mellitus. People with skin conditions, such as dermatitis, and those who have recently shaved, waxed or epilated are also more vulnerable to folliculitis.
What are the symptoms of hot tub folliculitis?
The symptoms of hot tub folliculitis generally appear within a few hours to a few days after the exposure. Some exposed people may not develop the infection.
It generally presents as small scattered itchy red bumps, which are mainly seen over the trunk. They mainly affect the body areas covered by the swimming costume. The rash may become filled with pus (pustules) and cause pain. There is a feeling of malaise or being unwell along with fever, which is usually mild. Other symptoms may include sore throat, headache, earache, nausea and vomiting. In people with compromised immunity, such as those on immunosuppressive medications or those with AIDS, the condition may progress to cause a more serious infection called ecthyma gangrenosum. Ecthyma gangrenosum is a rapidly progressing skin condition characterized by the formation of several blisters and pustules that may cause skin necrosis or gangrene formation.
Centers for Disease Control and Prevention. Disinfection & Testing. https://www.cdc.gov/healthywater/swimming/residential/disinfection-testing.html
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cefpodoximeCefpodoxime is a broad spectrum third-generation cephalosporin antibiotic used to treat a wide variety of bacterial infections, including bronchitis, pneumonia, gonorrhea, sinus infection, pharyngitis/tonsillitis, urinary tract infection (UTI), middle ear infection, and more. Common side effects include nausea, vomiting, diarrhea and loose stools, abdominal pain, abdominal distention, indigestion (dyspepsia), gas (flatulence), constipation, loss of appetite (anorexia), vulvovaginal fungal (yeast) infections, diaper rash, and others.
Common Medical Abbreviations & Terms
Doctors, pharmacists, and other health-care professionals use abbreviations, acronyms, and other terminology for instructions and information in regard to a patient's health condition, prescription drugs they are to take, or medical procedures that have been ordered. There is no approved this list of common medical abbreviations, acronyms, and terminology used by doctors and other health- care professionals. You can use this list of medical abbreviations and acronyms written by our doctors the next time you can't understand what is on your prescription package, blood test results, or medical procedure orders. Examples include:
- ANED: Alive no evidence of disease. The patient arrived in the ER alive with no evidence of disease.
- ARF: Acute renal (kidney) failure
- cap: Capsule.
- CPAP: Continuous positive airway pressure. A treatment for sleep apnea.
- DJD: Degenerative joint disease. Another term for osteoarthritis.
- DM: Diabetes mellitus. Type 1 and type 2 diabetes
- HA: Headache
- IBD: Inflammatory bowel disease. A name for two disorders of the gastrointestinal (BI) tract, Crohn's disease and ulcerative colitis
- JT: Joint
- N/V: Nausea or vomiting.
- p.o.: By mouth. From the Latin terminology per os.
- q.i.d.: Four times daily. As in taking a medicine four times daily.
- RA: Rheumatoid arthritis
- SOB: Shortness of breath.
- T: Temperature. Temperature is recorded as part of the physical examination. It is one of the "vital signs."
Eosinophilic Pustular Folliculitis PictureEosinophilic pustular folliculitis (EPF) is a skin disorder characterized by recurring itchy, red or skin-colored bumps and pustules (bumps containing pus). Skin biopsies of this disorder find eosinophils (a type of immune cell) around hair follicles. The pustules mostly appear on the face, scalp, neck and trunk and may persist for weeks or months. EPF affects males more than females. There are several variants of EPF including classic Eosinophilic pustular folliculitis (mainly occurring in adults in Japan); HIV-associated EPF, also referred to as immunosuppression-associated EPF; and infantile EPF (with onset from birth or within the first year of life).
FolliculitisFolliculitis is a skin condition that causes small red bumps to form around the hair follicles. Skin bacteria such as Staphylococcus and Pseudomonas may infect the follicles. Treatment involves over-the-counter bacterial washes, topical antibiotics, and/or topical steroids.
How Easy Is It to Get Leptospirosis?Leptospirosis is a potentially severe illness. It's not easy for humans to contract this illness.
How Serious Is a Staph Infection?A Staphylococcus or staph infection is caused by a germ that may be found in 30% of healthy people’s noses. Most of the time, these bacteria do not cause any health problems. However, in some people, it may cause skin and other organ infections. Most often, staph causes minor skin infections such as a boil. However, if it enters into your bloodstream and other organs, it may turn out to be deadly.
Is a Staph Infection Contagious?A staph infection is caused by the bacteria Staphylococcus aureus. Staph can cause boils, food poisoning, cellulitis, toxic shock syndrome, MRSA, and various other illnesses and infections. Most staph infections are transmitted from person to person.
Active Living with OACheck out this slideshow on Active Living From Day to Night with Osteoarthritis. Even with arthritis you can keep your active lifestyle without sacrificing your favorite activities such as biking, yoga, swimming and more.
Staph (Staphylococcus) InfectionStaphylococcus or staph is a group of bacteria that can cause a multitude of diseases. Staph infections can cause illness directly by infection or indirectly by the toxins they produce. Symptoms and signs of a staph infection include redness, swelling, pain, and drainage of pus. Minor skin infections are treated with an antibiotic ointment, while more serious infections are treated with intravenous antibiotics.
Staph Infection CausesStaph or Staphylococcus is a group of bacteria that is found over the skin of most individuals. Staph bacteria usually live inside the nose, but they do not cause an infection. Staph infections may turn deadly if the bacteria invade deeper into the body, entering the bloodstream, joints, bones, lungs, or heart.
What Is a Staph Infection?Do you know what a staph infection is? What about golden staph? Learn about the causes, symptoms, and treatments of staph infections (Staphylococcus aureus) before they become dangerous Staphylococcus infection complications like endocarditis or toxic shock syndrome.
What Happens if Folliculitis Goes Untreated?What is folliculitis? Folliculitis is a common and usually minor skin condition. Learn the signs of folliculitis and what can happen if it goes untreated.
What Is the Best Treatment for Folliculitis?Learn about the symptoms of folliculitis, and how to treat it.