The infection can spread and turn into crusty sores. Mild folliculitis will likely heal without scarring in a few days with basic self-care. More-serious or repeat infections may need prescription medicine. Left untreated, severe infections can cause permanent hair loss and scarring.
Treatment for most cases of bacterial folliculitis is with topical mupirocin or clindamycin. (See also Overview of Bacterial Skin Infections.)
In rare cases, your healthcare provider may use a sterile surgical knife with a thin blade (scalpel) to make a small cut in your affected areas. They'll squeeze out any pus and use sterile tweezers to remove the ingrown hair. To prevent scarring or infection, don't pick at, scratch or pop your ingrown hairs.
For localised areas of folliculitis, an antibiotic cream may be useful. Fusidic acid is a suitable antibiotic cream that can be applied 3-4 times per day to affected areas. If the folliculitis is thought to be fungal, a different treatment may be used.
Topical antibiotic ointments, such as Neosporin or generic neomycin, bacitracin, and polymyxin b triple antibiotic ointment, may help scalp folliculitis heal up faster. Apply the ointment to the affected area a few times daily.
Superficial folliculitis usually presents with multiple small spots and pustules, on an inflamed base, pierced by a central hair, although this might not always be visible. Deeper lesions present as painful, often pustular, inflamed lumps. Persistent or recurrent lesions may result in scarring and permanent hair loss.
Antibacterial soap: Use antibacterial bar soaps such as Dial® or Cetaphil®. Use skin washes that contain benzoyl peroxide. If these bumps are bothersome or painful. If they are not improving or continue to appear.
Sometimes, when Malassezia gets into the hair follicles, it can cause an itchy condition that looks like an acne breakout. It usually occurs on the upper chest and back. This form of folliculitis is made worse (aggravated) by sweat.
Folliculitis starts when hair follicles are damaged or when the follicle is blocked. For example, this may occur from rubbing against clothing or shaving. Most of the time, the damaged follicles become infected with staphylococci (staph) bacteria.
Some research suggests that avoiding foods made with wheat can ease your symptoms. Give up the grease. Unhealthy fats, low-fiber foods, and processed products can all lead to flare-ups.
Apply a medicated cream.
First try a mild corticosteroid cream, foam, ointment or oil (Scalpicin Scalp Itch) on affected areas, keeping it away from the eyes. If that doesn't work, try the antifungal cream ketoconazole.
Initial treatment of folliculitis includes warm compresses 2-3 times per day. Certain antibacterial soaps including Dial®, Hibiclens® wash or a benzoyl peroxide wash can be helpful, though can irritate the skin. For more severe cases, topical or even oral antibiotics can be used.
One or More Swollen Red Bumps Draining Pus
This can start with a small bump that looks like a pimple or acne, but that quickly turns into a hard, painful red lump filled with pus or a cluster of pus-filled blisters. Not all boils are caused by MRSA bacteria — other kinds may be the culprit.
Home therapy for mild cases of bacterial folliculitis includes the use of an over-the-counter antibacterial wash like benzoyl peroxide (Clearisil, Proactiv), chlorhexidine (Hibiclens), or Phisoderm twice a day. The best results may be achieved with combination therapy using topical products and antibacterial washes.
Self-Care for Folliculitis
Mild folliculitis might go away without any medical treatment. To help yourself heal and ease symptoms, you can: Clean the infected area. Wash twice a day with warm water and antibacterial soap.