Revisit on the Use of Bleach Baths as a Standardized Treatment for Atopic Dermatitis

Abstract

Background: Atopic dermatitis is known to be associated with the colonization of Staphylococcus aureus and topical antiseptics, such as bleach bath, have been hypothesized to be effective in the treatment of atopic dermatitis. Method: This essay aimed to summarize the current literature on the effectiveness of bleach bath as a standard treatment for patients with atopic dermatitis. The essay also explored the relationship between S. aureus colonization and atopic dermatitis with the latest literature to understand the effects of S. aureus colonization. Results: The current literature seemed to suggest whereas bathing was useful in improving the severity of atopic dermatitis, bleach bath did not offer superior results when compared to water bath. Conclusions: Although bleach bath may not be more effective than water bath, bleach bath could still be offered to patients at the discretion of the attending clinician because bleach bath is relatively inexpensive and adverse events are rare.