Is my HS always infected, and/or is my body always fighting infection?

Typically, the answer is no (there will always be exceptions).

Hidradenitis Suppurativa is neither infectious nor contagious.
Skin bacteria can be identified through standard culture tests, which may reveal both normal and pathogenic bacteria. Culturing an abscess may or may not reveal the presence of harmful bacteria. 

Quick Facts:

In most cases of HS abscesses/lumps, the findings are sterile, indicating the absence of harmful bacteria or infection. In patients with chronic HS, it’s important to take cultures from active deep abscesses with sinus tracts as a precautionary measure. When the presence of harmful bacteria in an abscess or wound is found this doesn’t automatically indicate an active infection. 

Redness and swelling can be a result of inflammation, not necessarily an infection.

Some factors that can amplify the risk of infection:

• Extracting or manipulating HS troubles areas; abscesses, DEP’s (blackhead-like), etc. through picking or squeezing. 
• Self-lancing, the use of needles and squeezing. 
• Excessive use of antibacterial products can disrupt the balance of good bacteria.
• Overuse of antibiotics.

Tidbit

HS is a challenging inflammatory condition. The immune system, hair follicles, follicular occlusion, microbiome disruption, and biofilm components are all interconnected. In addition, there is a connection between HS and gene mutations, familial ties (hereditary), environmental factors, and behavioral influences. 

I will go into this topic more thoroughly in the future in my article (will be tagged to this section). Including tips on how to better manage. 

_{Special Note: Researched, compiled, and written by Denise Fixsen, This information is backed by my 46 years of living with Hidradenitis Suppurativa, 10 years of dealing with multiple chronic illnesses, 36 years of advocacy, and continuous education. And to ensure accuracy, reliability, and trustworthiness, I incorporate peer-reviewed studies and other high-quality sources into my articles and material. I also wanted to inform you that I’ve chosen to end my collaboration with editors on my articles. Although there may be grammar errors due to brain illnesses (mostly), with this said, my content remains reliable, factual, and solid.}

_{Medical Disclaimer: This content is solely for information, education, and support. The purpose is not to serve as a replacement for professional medical advice, diagnosis, or treatments.}

_{Sources: doi.org/10.3389/fmed.2020.00068 Volume 7PMID: 27382916Merck Manual Professional Edition}

_{FAQ posted on 09-01-2024}