r/Staphacne

Image 1 — Not getting better after 6 days of antibiotics and mupirocin
Image 2 — Not getting better after 6 days of antibiotics and mupirocin
Image 3 — Not getting better after 6 days of antibiotics and mupirocin
Image 4 — Not getting better after 6 days of antibiotics and mupirocin
Image 5 — Not getting better after 6 days of antibiotics and mupirocin
Image 6 — Not getting better after 6 days of antibiotics and mupirocin
Image 7 — Not getting better after 6 days of antibiotics and mupirocin
▲ 4

Not getting better after 6 days of antibiotics and mupirocin

Impetigo Progression in order

u/specxylad — 2 days ago
▲ 12

Octenidine nasal gel + octenidine wash once daily+ Bacillus subtilis MB40 — significant improvement but concerned about long-term resistance

Hey everyone, long-time lurker here. I’ve had recurrent folliculitis / pustules around my mouth and beard area for years now, confirmed MRSA colonization. At my worst I was getting 9–10 pustules at a time, constantly cycling through them. Tried multiple antibiotics over the years, always rebounds within a week of stopping. Frustrating doesn’t cover it.
About 3 weeks ago I started a new regimen and honestly the difference has been noticeable:
• Octenidine nasal gel (Octenisan MD) — applied inside nostrils daily
• Octenidine body wash — once daily shower
• Bacillus subtilis MB40 (Sporevia) 5 billion CFU — one capsule daily
I’m now getting maybe 1–2 small pustules instead of the 9–10 I was used to. Not zero, but the reduction is real and I’ll take it.
My theory is the nasal gel is suppressing the main reservoir that was continuously reseeding my skin. The wash handles surface colonization. Not 100% sure what the B. subtilis is contributing honestly but I’ve kept it in.

My question / concern:
I’m worried about using octenidine long-term — both the nasal gel and the wash. Has anyone here developed resistance or noticed it stop working after extended use? I’ve read that antiseptics are generally more resistance-resilient than antibiotics but I’m not sure how true that holds up for years of daily use on a mucous membrane specifically.
Is there a rotation strategy people use to protect against this? I’ve seen mentions of alternating with diluted PVP-I (povidone-iodine) for the nose but haven’t tried it yet.
Any experience appreciated — especially from people who’ve been managing chronic MRSA colonization long term.

reddit.com
u/zawsm — 6 days ago
▲ 5

Help folliculitis ? Acne? Fungal? I have no idea what this could be at this point

I have no idea what to do anymore…..

I used to have some back pimples here or there (nothing like this) but I started on Spironolactone last summer and that cleared everything up. I stopped Spironolactone in January and in March I traveled to a humid climate and my bacne got really bad. I came back and it has not gone away.

I finally saw my derm who put me on ketoconazole shampoo and Clindamycin pads. I felt that the pads were not getting better so I started doxycycline. After a few days of doxycycline my back looked worse (the full back pic) and found a post that made me think it could be fungal folliculitis. I took Diflucan and switched to ketocanzole shampoo and cream. It’s been a few days of this and that’s what my back looks like now (the half pic) there are still big pimples popping up. It could be a bit itchy which made me think it was fungal but I’m not sure now. I reached out to my derm again and she said to take doxycycline twice a day now. She won’t test it I’m not sure why but I’m at my wits end trying to figure this out. Has anyone encountered this?

I saw a post recommending hibiclens mixed with lotion as well.

u/ConsistentIsland3302 — 3 days ago
▲ 6

Is this a good idea?

I get staph infections a lot, this is my first one on center of my lip though, so I'm really trying to keep it from spreading. It's been about 3 days and it does not look like it's getting closer to popping, in fact it looks smaller, maybe?? Could keeping it this covered prevent it from completing it's full cycle. I'm taking antibiotics on day 3 of 10 and am scared of it popping closer to end and restarting or spreading 😭 I got faked out by an infection before it spreading once but can't remember why it did just that I had to do a different antibiotic right after.

u/sealsbefree — 5 days ago
▲ 2

Help me

I’m exhausted. Two years ago, after applying a self-tanner, I had a massive outbreak of folliculitis all over my face. Since then, the marks have remained. I tried every cream possible, and it eventually improved by using salicylic acid, snail mucin gel, and a cleanser. The dermatologist said it was stress-related acne and sensitive skin, and prescribed some products to use, including a cleanser and a cream. Everything was fine until the last month. Before my menstrual cycle, I get these pimples and they stay there — they itch and are really uncomfortable. I wash my face with a BHA cleanser and alternate with sulfur or an ultra-gentle soap. They won’t go away. I’m desperate. I change my pillowcases every two days, I don’t touch my face, and I’ve stopped wearing makeup. The itching and a comment someone made made me think it could possibly be staph, especially because I don’t have them on my forehead or elsewhere. They’re all around my mouth, but I’m pretty ignorant about this kind of thing. I’m also trying supplements.

u/Fancy_Following_1927 — 8 days ago
▲ 11

made a post few weeks ago- my progression

its finally gone 🥹

u/throwaway24844 — 7 days ago
▲ 6

Should I go to urgent care? This is all from today. I popped this 2 days ago before getting in the shower

u/bukakkugan — 11 days ago
▲ 2

Its in the mid section area near the abdomen...i haven't been good with my hygiene due to intense fatigue... basically barely functioning... does this look like the start of staph.. it started quite itchy

u/Ok_Nig88 — 9 days ago