• Dermatitis (Skin Rash or Pseudomonas Folliculitis)
  
• Respiratory System Infections
   
• Swimmer's Ear (Otitis Externa) - please see your local doctor for treatment
  
• Other systemic infections
  

In Spas & Hot tubs, a very likely cause of skin rash is Pseudomonas aeruginosa (PA).

Pseudomonas feeds on oil & grease present in the spa water (mainly from body oils & skin treatments brought into the spa from bathers NOT properly showering prior to entering the spa or hot tub) and can multiply rapidly under ideal conditions (such as lack of proper sanitizing procedures).

In swimming pools, PA can be found on various areas such as pool coping, waterfall edges, ladder steps, swim-outs, etc.

PA infects the hair follicles on the body.

If infected, you will notice the following characteristics of Pseudomonas Aeruginosa:

• Itchy rash 8 to 48 hours after contamination.
  
• Rash can occur on arms, legs or trunk of body.
  
• Rash disappears 7 to 10 days without treatment.
  

1. Drain the spa and refill just above the jets.
   
2. Remove the filter and soak in a solution of chlorine and water during treatment. (2 Tbsp of Chlorine/5 gallons of water)
   
3. Shock with four times the normal dose of Stabilized Chlorinating Granules.
   
4. Turn on the jets and circulate for 2 - 3 hours. The bacterial growth usually builds up in the lines, so it is necessary to flush them thoroughly.
   
5. Drain the spa again and refill with fresh water.
   
6. Chemically clean (such as SpaGuard® Filter Cleaner®) and / or replace the filter .
   
7. Rebalance spa and shock. Do not enter spa until sanitizer level drops below 4.0 ppm.
   
8. As an additional precaution, Par Pool & Spa STRONGLY RECOMMENDS cleaning the underside of the spa or hot tub insulating cover with BioGuard® Stow Away® (contains quarternary ammonium compounds, which when used properly controls mildew).  Clean your cover with Stow Away® whenever you drain, clean & refill your spa or hot tub.
    
9. Using products such as AquaFinesse will continually remove the bio-film where about 99% of bacteria lives. Products such as Natural Chemistry Pool Perfect, contain natural enzymes that naturally "eat up" the greases & oils that feed the pseudomonas bacteria.
    
10. Follow the 6 Keys of Spa Care for prevention.
    

Treatment of Swimming Pools is similar.  Regularly clean by brushing & thoroughly wiping the suspected areas with approved cleaners or sanitizers (i.e. chlorinated pool water). Click here for Swimming Pools.

Prevention:
Enforce shower rules before entering spa or pool.
Maintain 1-3 ppm Free Available chlorine in residual spas or pools and 3- 5 ppm in commercial spas or pools.

For further information, please visit our Knowledge Base

Information from:
BioLab, Inc.
Kenneth Todar, University of Wisconsin-Madison, Department of Bacteriology
Image courtesy of Univ. Iowa Health Sciences, Copyright DermNet.com.

For further information, please visit the Center for Disease Control website

If you still need help, here's how to reach us:

Telephone (during store hours): Stratford  203-377-0100
FAX: (24 hrs) 203-375-7787

Email: techhelp@parpool-spa.com