{"id":7510,"date":"2020-04-24T19:06:01","date_gmt":"2020-04-24T22:06:01","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/banos-de-lejia-en-pacientes-con-infecciones-de-la-piel\/"},"modified":"2020-04-27T16:11:37","modified_gmt":"2020-04-27T19:11:37","slug":"bleach-baths-in-patients-with-skin-infections","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/banos-de-lejia-en-pacientes-con-infecciones-de-la-piel\/","title":{"rendered":"Bleach baths in patients with skin infections"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/banos-de-lejia-en-pacientes-con-infecciones-de-la-piel\/#Introduccion\" >Introduction<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/banos-de-lejia-en-pacientes-con-infecciones-de-la-piel\/#Infecciones-de-la-piel\" >Skin infections<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/banos-de-lejia-en-pacientes-con-infecciones-de-la-piel\/#%C2%BFComo-se-puede-descolonizar-la-piel\" >How can you decolonize the skin?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/banos-de-lejia-en-pacientes-con-infecciones-de-la-piel\/#%C2%BFQue-es-un-bano-de-lejia\" >What is a bleach bath?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/banos-de-lejia-en-pacientes-con-infecciones-de-la-piel\/#%C2%BFPor-que-usar-un-bano-de-lejia\" >Why use a bleach bath?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/banos-de-lejia-en-pacientes-con-infecciones-de-la-piel\/#Como-usar-un-bano-de-lejia\" >How to use a bleach bath<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/banos-de-lejia-en-pacientes-con-infecciones-de-la-piel\/#Lejia-para-un-bano-de-lejia\" >Bleach for a bleach bath<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/banos-de-lejia-en-pacientes-con-infecciones-de-la-piel\/#%C2%BFCuales-son-los-efectos-adversos-de-un-bano-de-lejia\" >What are the adverse effects of a bleach bath?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bleach baths are recommended in patients with frequent skin infections to reduce colonization of the skin by <span class=\"term\" data-term-id=\"1417\">pathogen<\/span> <span class=\"term\" data-term-id=\"935\">bacteria<\/span>particularly <em>Staphylococcus aureus<\/em>. Bleach baths have been reported to reduce the severity of <span class=\"term\" data-term-id=\"922\">atopic<\/span> <span class=\"term\" data-term-id=\"53\">dermatitis<\/span> and to reduce the need for <span class=\"term\" data-term-id=\"1330\">current<\/span> steroids and antibiotics. <\/p>\n<h2><span class=\"ez-toc-section\" id=\"Infecciones-de-la-piel\"><\/span>Skin infections<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Staphylococcal infections of the skin and <span class=\"term\" data-term-id=\"1183\">Soft fabric<\/span> they are common, especially in children, and can be serious. Despite treatment, more than 20% of patients with skin and soft tissue infections have <span class=\"term\" data-term-id=\"1074\">reappearance<\/span> within three months <span class=\"term\" data-term-id=\"949\">Primary<\/span> Staphylococcal skin infections include:<\/p>\n<ul>\n<li>Impetigo<\/li>\n<li>Boil<\/li>\n<li>\n<p>Folliculitis<\/li>\n<\/ul>\n<p>Secondary staph infections include:<\/p>\n<ul>\n<li>Infected <span class=\"term\" data-term-id=\"491\">eczema<\/span><\/li>\n<li>\n<p>Infected wounds, including surgical wounds and <span class=\"term\" data-term-id=\"1365\">trauma<\/span>.<\/li>\n<\/ul>\n<p>Predisposing factors for skin and soft tissue infections include:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"937\">Bacterial<\/span> colonization of the patient&#039;s skin with <em>S. aureus<\/em>\n<\/li>\n<li>Colonization of the skin of a family member.<\/li>\n<li>Colonization with resistant methicillin <em>S. aureus<\/em> (MRSA)\n<\/li>\n<li>\n<p>Dermatitis, particularly atopic eczema, <span class=\"term\" data-term-id=\"65\">discoid<\/span> eczema and <span class=\"term\" data-term-id=\"1178\">venous<\/span> stasis eczema.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-puede-descolonizar-la-piel\"><\/span>How can you decolonize the skin?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>attempts to reduce <em>S. aureus<\/em> By decolonization of the skin are included combinations of:<\/p>\n<ul>\n<li>Bleach baths or showers<\/li>\n<li>\n<p>nasal mupirocin <span class=\"term\" data-term-id=\"1122\">ointment<\/span>\n<\/li>\n<li>Oral antibiotics (eg, flucloxacillin, rifampicin, doxycycline)<\/li>\n<li>Chlorhexidine <span class=\"term\" data-term-id=\"1119\">solution<\/span> as an antiseptic bath or shower cleanser<\/li>\n<li>General hygiene and wound care.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-un-bano-de-lejia\"><\/span>What is a bleach bath?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bleach baths are dilutions of household bleach with water in a bath. The chlorine concentration is similar to that of a swimming pool. Have <span class=\"term\" data-term-id=\"516\">antimicrobial<\/span> action.<\/p>\n<ul>\n<li>The active compound in commercial household bleaches is sodium hypochlorite (NaOCl).<\/li>\n<li>The bleach contains 3\u20136% available chlorine (Cl<sub>2<\/sub>), approximately 0.5\u20131.5% sodium hydroxide (NaOH) as stabilizer, small amounts of surfactants, and perfume.<\/li>\n<li>TO <span class=\"term\" data-term-id=\"890\">pH<\/span> 11-13, is an alkaline aqueous solution with important oxidizing properties.<\/li>\n<li>Sodium Hypochlorite 0.0006% is also available as a convenient wash suitable for use in a shower.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFPor-que-usar-un-bano-de-lejia\"><\/span>Why use a bleach bath?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Combined with other decolonization methods, bleach baths reduce decolonization rates. <span class=\"term\" data-term-id=\"805\">recurrent<\/span> primary and secondary skin and soft tissue infections.<\/p>\n<p>Bleach baths have a broad spectrum of action against:<\/p>\n<ul>\n<li>\n<p>Bacteria (Gram-positive and Gram-negative)<\/li>\n<li>\n<p>fungi and spores<\/li>\n<li>\n<p>Virus<\/li>\n<\/ul>\n<p>Microbial resistance to sodium hypochlorite has not been reported. The effect of bleach baths on the decolonization of the patient&#039;s skin is only temporary, so it must be repeated regularly.<\/p>\n<p>Bleach baths also appear to reduce <span class=\"term\" data-term-id=\"148\">inflammation<\/span> and itching in eczema.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Como-usar-un-bano-de-lejia\"><\/span>How to use a bleach bath<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mix 2 ml of 2.2% household bleach for every 1 liter of water to obtain a 0.005% solution. Brands vary in strength, so check the label. If the concentration is higher, use less bleach, and if the concentration is lower, use more bleach.<\/p>\n<table class=\"borders\">\n<tbody>\n<tr>\n<th>bathroom type<\/th>\n<th>usual capacity<\/th>\n<th>Milliliters (ml) of bleach is required at 2.2%<\/th>\n<\/tr>\n<tr>\n<td>Baby bath<\/td>\n<td>15 liters of water<\/td>\n<td>30 ml (approx. two tablespoons)<\/td>\n<\/tr>\n<tr>\n<td>full size bathroom<\/td>\n<td>80 liters of water (for 10 cm depth)<\/td>\n<td>160 ml (about half a cup)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<ul>\n<li>Soak the trunk and limbs in the bath for 10-15 minutes. Do not submerge your head.<\/li>\n<li>Rinse with warm tap water and towel dry. Avoid sharing towels.<\/li>\n<li>Apply topical steroids and moisturizers if prescribed.<\/li>\n<li>Bleach baths are recommended at least twice a week.<\/li>\n<li>Keep bleach out of the reach of children.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Lejia-para-un-bano-de-lejia\"><\/span>Bleach for a bleach bath<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='bleach-bath-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5455941-5457456' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/bleach-bath-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5455941.jpg'>\n<\/div>\n<p class=\"p-small\">Bleach<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='bleach-bath-4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-1602660-6199540' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/bleach-bath-4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-1602660.jpg'>\n<\/div>\n<p class=\"p-small\">fragrance free is best<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='bleach-bath-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4797502-5052412' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/bleach-bath-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4797502.jpg'>\n<\/div>\n<p class=\"p-small\">child proof top<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='bleach-bath-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-4396615-2206126' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/bleach-bath-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-4396615.jpg'>\n<\/div>\n<p class=\"p-small\">160 ml measured for full bath<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-los-efectos-adversos-de-un-bano-de-lejia\"><\/span>What are the adverse effects of a bleach bath?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Exposure to bleach baths can lead to:<\/p>\n<ul>\n<li>Dry Skin<\/li>\n<li>\n<span class=\"term\" data-term-id=\"255\">Eruption<\/span>\/ dermatitis \/ skin irritation<\/li>\n<li>Asthma <span class=\"term\" data-term-id=\"1565\">exacerbation<\/span>\n<\/li>\n<li>nasal irritation<\/li>\n<\/ul>\n<p>These symptoms are often due to the addition of perfumes or detergents to the bleach. If it&#039;s problematic, try another brand. Do not apply the bleach directly to the skin.<\/p>\n<p><span class=\"term\" data-term-id=\"1160\">Toxicity<\/span> or poisoning is rare but potentially very serious. It is usually due to <span class=\"term\" data-term-id=\"406\">ingestion<\/span> of undiluted solution. Keep bleach in its original container with a child-resistant cap and make sure small children cannot open it.<\/p>\n<p>Ingestion of small volumes can lead to:<\/p>\n<ul>\n<li>irritation of the <span class=\"term\" data-term-id=\"884\">oropharynx<\/span>,<\/li>\n<li>Burning sensation in the mouth and throat.<\/li>\n<li>Thirst<\/li>\n<li>Nausea<\/li>\n<li>Vomiting<\/li>\n<li>Hematemesis (vomiting blood).<\/li>\n<\/ul>\n<p>Ingestion of large amounts or more concentrated solutions may lead to:<\/p>\n<ul>\n<li>corrosion of the <span class=\"term\" data-term-id=\"188\">mucous<\/span> membranes<\/li>\n<li>chest and abdominal pain<\/li>\n<li>watery diarrhea<\/li>\n<li>Melaena (blood in stool)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1278\">Ulceration<\/span> or <span class=\"term\" data-term-id=\"1431\">drilling<\/span> of the esophagus or stomach<\/li>\n<li>\n<span class=\"term\" data-term-id=\"120\">Hemorrhage<\/span> and shock.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Los ba\u00f1os con blanqueador se recomiendan en pacientes con infecciones frecuentes de la piel para reducir la colonizaci\u00f3n de la piel por pat\u00f3geno bacteriasparticularmente Staphylococcus aureus. Se ha informado&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7510","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7510","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7510"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7510\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7510"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7510"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7510"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}