A Closer Look at Bleach Baths: Evidence, Tub Size, and Instructions

Abstract

Dilute sodium hypochlorite (bleach) baths have been used in routine care for many dermatologic conditions, namely atopic dermatitis. The benefits of bleach baths in reducing bacterial carriage have been well documented; however, the instructions often require subjective interpretation of bathtub size and may result in varying concentrations of bleach. Herein, we review the evidence for use of bleach baths and provide a method for ensuring that proper bleach concentrations are achieved.

Bleach baths for atopic dermatitis

“…Patients self-administering bleach baths must carefully handle and dilute household cleaning solutions putting them at risk for injury and adverse effects. 47 One study 28,29 reported hospitalization associated with incompliance with bleach interventions. Narrative reviews and our guideline panel's clinical experience are also consistent with the potential for bleach bathing may sometimes result in improper administration and adverse events.…”

“…Narrative reviews and our guideline panel's clinical experience are also consistent with the potential for bleach bathing may sometimes result in improper administration and adverse events. 47 Robust RCTs are clearly required to improve the evidence for safety of bleach baths for AD.…”