What should be considered in the treatment of folliculitis?

Updated: Oct 08, 2020
  • Author: Elizabeth K Satter, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

Before a treatment plan is devised, it is important to consider the etiology of the folliculitis, severity, and distribution of the lesions. For uncomplicated superficial folliculitis, use of antibacterial soaps and good hand-washing techniques may be all that is needed. Lesions that are more inflamed usually respond well to warm compresses with or without the use of a topical antimicrobial agent. For refractory or deep lesions with a suspected infectious etiology, empiric treatment with oral antibiotics that cover gram-positive organisms should be considered. For patients who do not improve with a standard course of antibiotics, other causes of folliculitis must be investigated.


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