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Antibiotics No Long Term Solution for Acne

acne northampton

For severe cases of acne, where the skin is inflamed with cysts and nodules, GPs might decide to prescribe antibiotics. 

However, while this is one option for dealing with severe acne, it is potentially not the best – and certainly not an option for long-term management of this difficult condition.

In fact, a study presented at the British Association of Dermatologists Annual Meeting and another separate study published in the Journal of the American Academy of Dermatology both suggested that treatment durations for antibiotics were too long.

The American study led by Dr. Seth Orlow, Chair of Dermatology at New York University Langone Medical Center reviewed the medical records of 137 patients. On average, they were kept on antibiotics for 11 months before their doctors decided the antibiotics were not effective. Dr Orlow stated in a news release:

“Our study suggests that physicians need to recognize within weeks, not months, when patients are failing to respond to antibiotic therapy in cases of severe acne.”

The UK study was led by Dr Alison Layton and the dermatology team at Harrogate and District NHS Foundation Trust. This review of 928 patients with acne found the that the average patient took oral antibiotics for 6.5 months prior to referral. The longest exposure to a single antibiotic was 84 months – nearly seven years.

This study highlighted dangers of extended use of antibiotics for treating acne:

  1. Potentially could lead to Propionibacterium acnes becoming resistant to antibiotics
  2. Could also drive resistance in other bacteria, unrelated to acne

Dr Heather Whitehouse, one of the authors, said:

“Antibiotics remain an important part of acne management, but given concerns about antibiotic resistance we should be using antibiotics judiciously as part of a treatment regime, limited to the shortest possible time period.

“Oral antibiotics are frequently being prescribed on their own for patients with acne, this is not something that guidelines advocate as individually they are not effective at treating all aspects of the condition. Not to mention the fact that this sort of monotherapy is implicated in driving antimicrobial resistance.”

National Institute for Health and Care Excellence (NICE) guidance recommends that patients should try antibiotics for a maximum 3 months unless an improvement in their acne is seen, before considering referral to a dermatologist. Where the patient is responding to the antibiotics, then treatment should continue for 4-6 months alongside appropriate topical treatment.

Alternatives to Antibiotics for Acne

Mulberry House Clinic is an ARA accredited Acne & Rosacea treatment centre based in Northamptonshire. Founded and led by former GP, Dr John Tanqueray, the company now offers a choice of top brand professional skincare solutions specifically designed for acne sufferers as well as professional treatments.

More Information

More Information on Acne – the condition and treatment options.

ARA UK Accredited Treatment Centre

ARA accredited treatment centre

Mulberry House Clinic is an ARA (Acne & Rosacea Association UK) Accredited Treatment Centre, demonstrating the company’s commitment to treating patients with acne and all its complications.

Mulberry House Clinic

Established 2003

Mulberry House Clinic has an excellent reputation in the Northampton area as an independent, doctor-led practice with over 15 years experience. Cosmetic skin treatments are carried out by Dr John Tanqueray, who works closely with leading manufacturers to remain at the forefront of the medical aesthetics.

For further information or to arrange a confidential consultation, please complete our contact form, call 01604 702630 or email: info@mulberryhouseclinic.co.uk.

 

Summary
Antibiotics No Long Term Solution for Acne
Article Name
Antibiotics No Long Term Solution for Acne
Description
For severe cases of acne, where the skin is inflamed with cysts and nodules, GPs might decide to prescribe antibiotics. Scientific study on the effects.
Publisher Name
Mulberry House Clinic