Comments on: Diluted Bleach Baths can improve Atopic Dermatitis http://www.dermatoblog.com/2009/05/18/diluted-bleach-baths-can-improve-atopic-dermatitis/ The latest posts and articles from dermatology Tue, 11 May 2010 11:18:58 +0200 http://wordpress.org/?v=2.8.5 hourly 1 By: Dr. Mascaró http://www.dermatoblog.com/2009/05/18/diluted-bleach-baths-can-improve-atopic-dermatitis/comment-page-1/#comment-4133 Dr. Mascaró Sun, 31 May 2009 19:48:38 +0000 http://www.dermatoblog.com/?p=374#comment-4133 You are right that antiseptic bath will only be active against bacteria on the skin, and will not erradicate microbes in other areas (S. aureus nasal carriage, for example). However in the present study children were also treated with an oral course of cephalexin, and intranasal mupirocin ointment during all the study. In addition cultures at baseline yielded S. aureus from lesional skin for 87.1% of patients and from the nares for 80.6% of patients, and the cultures for all patients continued to yield S. aureus from both skin and nares samples at 3 months. So, intranasal mupirocin and diluted bleach baths were not able to eradicate S. aureus from the skin (but might have decreased their numbers). Anyway, the study clearly demonstrated that these baths improved atopic dermatitis in these children, although the mechanims is not clear currenlty. You are right that antiseptic bath will only be active against bacteria on the skin, and will not erradicate microbes in other areas (S. aureus nasal carriage, for example). However in the present study children were also treated with an oral course of cephalexin, and intranasal mupirocin ointment during all the study. In addition cultures at baseline yielded S. aureus from lesional skin for 87.1% of patients and from the nares for 80.6% of patients, and the cultures for all patients continued to yield S. aureus from both skin and nares samples at 3 months. So, intranasal mupirocin and diluted bleach baths were not able to eradicate S. aureus from the skin (but might have decreased their numbers). Anyway, the study clearly demonstrated that these baths improved atopic dermatitis in these children, although the mechanims is not clear currenlty.

]]> By: XAVIER LLOP http://www.dermatoblog.com/2009/05/18/diluted-bleach-baths-can-improve-atopic-dermatitis/comment-page-1/#comment-4121 XAVIER LLOP Tue, 26 May 2009 16:51:14 +0000 http://www.dermatoblog.com/?p=374#comment-4121 Dear Dr. Mascaro, Your post is very interesting, but I wonder if this antiseptic bath is enough to erradicate Staphylococcus or if there are other measures that are also necessary to erradicate them in the gastrointestinal tract or other colonized body sites Thank you and congratulations for this interesting blog Dear Dr. Mascaro,

Your post is very interesting, but I wonder if this antiseptic bath is enough to erradicate Staphylococcus or if there are other measures that are also necessary to erradicate them in the gastrointestinal tract or other colonized body sites

Thank you and congratulations for this interesting blog

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