What is the primary first line treatment for folliculitis?

The primary first line treatment for folliculitis typically involves the use of topical antibiotics such as mupirocin or clindamycin. Folliculitis, which is the inflammation of the hair follicles, is often caused by bacterial infections, most commonly by Staphylococcus aureus. Topical antibiotics are effective in eradicating the infection at the site and promote healing of the affected areas.

Mupirocin has strong antibacterial activity against skin pathogens, and clindamycin is effective against many strains of bacteria that cause skin infections. Both options can reduce inflammation and infection, making them suitable first-line treatments.

While warm compresses may provide symptomatic relief by promoting drainage of the follicles and alleviating discomfort, they do not directly address the underlying infection. Ciprofloxacin, an oral antibiotic, is generally reserved for more severe or widespread cases of folliculitis rather than as a first-line treatment. Similarly, penicillin is not typically effective against the strains of bacteria commonly responsible for folliculitis, especially in cases caused by Staphylococcus aureus.