I'm going to include this article from the NIH; the abstract does a fairly good job of outlining why biofilms may be a real concern in trying to treat HS lesions. Basically, the bacteria form this gooey biofilm as a way to ward off any attackers, like topical antibacterial soaps and solutions, as well as antibiotics and corticosteroids. So though we may have certain things to use that make us feel better for the short term, they don't clear up the lesions long term because of these biofilms that form in the lesions and sinus tracts. Are you aware of this issue as a patient? The quote from the abstract that stands out to me in this particular article says, "HS should be considered in the expanding spectrum of bacterial biofilm-based disorders."
https://pubmed.ncbi.nlm.nih.gov/22353357/