This information is only to be followed if your child's care team recommended bleach baths for recurrent infections with Staphylococcus aureus bacteria. 

The itching and scratching of atopic dermatitis (eczema) lead to an increased risk of infection from bacteria, especially Staphylococcus aureus. A good way to reduce the amount of bacteria on the skin is by using chlorinated water in a dilute "bleach bath" two or three times a week (ie, Tues + Thurs, or Mon + Wed + Fri). Here are our simple recommendations:

1. Put 1/4 cup of common bleach (for example, Clorox) into an empty bathtub.

2. Add lukewarm water to fill the tub one-half full.  Be certain that the bleach is diluted completely in the water - much like the water in a chlorinated swimming pool!

3. Soak in the chlorinated water for about 10 minutes.

4. If you notice that dryness and/or irritation occur after the soaking stage thoroughly rinse the skin clear with lukewarm fresh water at the end of the bleach bath.

5. As soon as the bath is over, pat dry.  Do not rub dry as this is the same as scratching!

6. Immediately apply any prescribed medication and emollient.

7. Repeat bleach baths 2 to 3 times per week or as prescribed by the care team.

• NEVER use undiluted bleach directly on the skin. Even a diluted bleach bath can potentially cause dryness and/or irritation.
• Do not use bleach baths if there are any breaks or open areas in the skin.
• Do not use bleach baths for patients with a known contact allergy to chlorine.