Staphylococcal Scalded Skin Syndrome (SSSS) Featured Image

Treatment for Staphylococcal Scalded Skin Syndrome (SSSS)

Scalded Skin Syndrome (SSSS) is a skin condition that you may see on infants or immuno-compromised people. It’s a rare, but very serious skin condition. It’s caused by Staphylococcus aureus bacteria.

If you have it, you will notice that your skin may look like it’s burned because it can peel or blister from SSSS. Early detection and treatment are very important in order to help prevent complications and ensure that your skin heals smoothly.

This article will help you understand the causes, symptoms, and how to treat SSSS. We’ll also offer some aftercare tips to help you keep your skin smooth and healthy. 

What is Scalded Skin Syndrome?

Scalded Skin Syndrome is a bacterial skin infection caused by toxin-producing Staphylococcus aureus. These bacterial toxins attack the top layer of the skin, causing it to peel and blister, giving the appearance of a scald or burn.

This serious skin infection most commonly affects newborns, young children, and individuals with weakened immune systems.

Person applying cream to red, irritated skin on their hand.

Causes and Risk Factors

SSSS develops due to a toxin that causes the skin to blister and peel. The bacterium that causes SSSS spreads through direct contact or contaminated surfaces.

Those at highest risk include:

  • Newborns and young children: Their immune systems are still developing, making them more susceptible.

  • Immunocompromised individuals: People with weakened immune systems, such as those undergoing chemotherapy or with chronic illnesses.

  • Children younger than five years old: Their skin is more vulnerable to bacterial infections.

SSSS is not typically contagious among healthy people but can spread easily in hospital settings or daycare centers.

Symptoms of SSSS

If you think you may have SSSS, you’ll want to know that the symptoms will often start with feeling a little tenderness in your skin, but the symptoms can get worse very quickly. Common symptoms include:

  • Early signs: Fever, redness, and tenderness of the skin.

  • Progression: The skin may develop fluid-filled blisters, leading to widespread peeling.

  • Affected areas: The face, neck, groin, and armpits are commonly impacted.

As the condition progresses and gets worse, the skin can become damaged and may start to shed. It may look like the skin has been burned. Children and adults who have these symptoms should seek medical attention immediately. 

How is Scalded Skin Syndrome Diagnosed?

Close-up of a hand with a small blister on the skin near the thumb.

When you have a skin condition that seems to be getting worse, it’s important that you visit your doctor for a diagnosis. A doctor may diagnose SSSS through:

  • Physical exam: The doctor will check to see if you have blistering skin.

  • Skin biopsy: A skin biopsy examines skin samples under a microscope to confirm the diagnosis.

  • Blood cultures: Checks are done for bacterial infection.

  • Medical history review: Doctors will look at previous infections and symptoms.

Since other skin conditions, such as psoriasis or bullous impetigo, can have similar symptoms as SSSS, a thorough diagnosis is essential to ensure prompt treatment.

Treatment and Recovery

Anyone who has suffered from SSSS can tell you that getting treatment as early as possible is very important. This is a skin condition that usually requires treatment at a hospital. If you’ve been diagnosed with this painful skin problem, you’ll want to move forward with treatment and recovery quickly. Treatment usually includes:

  • IV antibiotics: Essential for eliminating the bacterial infection.

  • IV Fluids: Intravenous fluids can help prevent dehydration and support healing.

  • Pain management: Oral medications can be used to reduce discomfort.

  • Skin care: Wound care to protect damaged skin and prevent complications.

Most patients will recover within 10 days with proper medical care. However, individuals who have poor kidney function or a weakened immune system may find that they need a longer time to recover than others do.

Some patients may be treated by the burn unit in the hospital or clinic due to the severity of the skin condition. It can wreak havoc on the outer layer of skin, but with proper treatment, the complications of SSSS can be made minimal. 

Aftercare and Managing Itchy or Healing Skin

Once your treatment begins, you’re going to find that aftercare is one of the most important things that you’ll need to pay attention to. This is when you’ll be able to help your skin continue to heal comfortably.

Start by keeping your skin well-hydrated as moist skin tends to heal faster and will feel less irritated. If you have a problem with itchy skin, you can use a gentle anti-itch cream to calm the area.

You may want to try Dermeleve®, a steroid-free cream that can help soothe itching and irritation while it helps to support your skin’s recovery. Remember, for soft skin that feels great, it's also important to drink plenty of fluids.

When you follow these simple steps you can prevent scarring and possible complications while you help your skin regain its strength after a serious infection.

Prevention and When to Seek Medical Attention

Staphylococcal Scalded Skin Syndrome (SSSS) on a newborn's handYou can lower your risk of SSSS by following simple prevention steps. You’ve probably always heard that frequent handwashing is important, but with SSSS, it’s very important.

Clean hands help stop bacteria from spreading. You can care for cuts, scrapes, or any open wounds by keeping them clean and covered. This helps protect your skin from harmful bacteria that could lead to infection.

It's important that you watch your skin very carefully to check for any signs of trouble. If you notice that you have a fever, severe redness, or even blisters, you need to act fast.

Don’t wait to see if it gets better on its own. Seek medical advice from your primary care doctor right away. Early treatment can help you avoid serious complications and speed up recovery. Your health and safety come first. 

Final Thoughts on Scalded Skin Syndrome

Scalded Skin Syndrome is a serious but treatable condition caused by toxin-producing Staphylococcus aureus bacteria.

Key takeaways:

  • Early symptoms include fever, rash and redness, and blistering skin.

  • Diagnosis requires a physical exam, skin biopsy, and lab tests on the areas of skin that are effected by SSSS.

  • Treatment includes IV antibiotics, fluids, and skin care.

  • Recovery takes about 10 days, but aftercare is crucial to prevent scarring.

A tube of Dermeleve Soothing Cream placed on a marbled surface in a well-lit room. The tube details ingredients and notes it is steroid-free for relieving dry, itchy, and irritated skin.For relief during recovery, check out Dermeleve® for soothing skin relief. When you need the best itchy skin relief that helps keep your skin protected, you’ll find that Dermeleve® is perfect for supporting your healing journey. 

Back to blog