Most common cause of folliculitis is bacteria especially Staphylococcus aureus. However, fungal infections, viruses and physical trauma to the follicle can all contribute to folliculitis. Folliculitis may last short time (acute case) or persist long term (chronic case). We have aimed to assess epidemiological, precipitating factors and microbiological aspects of chronic bacterial folliculitis. Sixty cases of chronic bacterial folliculitis which are diagnosed clinically and confirmed microbiologically are selected and all the age groups of both sexes were included in this study. Data related to patient clinical history, bacterial culture and sensitivity was entered into spread excel sheet. Results were analyzed and tabulated. Most of the chronic bacterial folliculitis (CBF) cases were between the age group of 21-30 years i.e., 29 out of 60 (48.3%), followed by 31-40 years, i.e., 18 out of 60 (30%). Male predominance noted. Out of 60 isolates, 42 (70%) Staphylococcus aureus were isolated. Other bacteria isolated were Pseudomonas aeruginosa (13.3%), Coagulase Negative Staphylococci (11.6%), Proteus species (5%). All isolates were tested against various cases of antibiotics according to CLSI guidelines. Out of 42 isolates of Staphylococcus aureus, 35 (83.3%) were sensitive to doxycycline, 32 (76.1%) were sensitive to ciprofloxacin and piperacillin+tazobactum, 30 (71.4%) were sensitive to erythromycin and amoxyclav, 27 (64.2%) were sensitive to clindamycin, 17 (40.4%) were sensitive to cefoxitin, 13 (30.9%) were sensitive to ampicillin and ceftriaxone. All the isolates were sensitive to vancomycin and linezolid. Diagnosis of Chronic Bacterial Folliculitis can be done easily in most of the cases on clinical examination. Culture and sensitivity of pus samples from such cases helps to treat patients appropriately and also aids in reduction of complications. Making a policy by dermatologists to follow antibiotic therapy according to sensitivity report helps in decreasing the incidence of antibiotic resistance.

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