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A controversial proposal: no more antibiotics for acne!

Skin Therapy Lett. 2013 Aug;18(5):1-4

Authors: Muhammad M, Rosen T

Abstract
Administration of antibiotics, often for prolonged periods, has become the de facto standard of care for acne (and rosacea). However, the world is now facing a health crisis relating to widespread antibiotic resistance. The authors provide current evidence to suggest that dermatologists should consider a radical departure from standard operating procedure by severely curtailing, if not outright discontinuing, the routine and regular use of antibiotics for acne.

PMID: 24305661 [PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/24305661?dopt=Abstract = URL to article

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The authors of this paper have really gone out on a limb since this is a very controversial subject. Oral antibiotics whether low dose or not, has now become the first line of defense in the armamentarium along with metronidazole topical treatment, also an antibiotic. The authors clearly point the reason why they suggest this needs to be done as soon as possible. You can read more about this subject at this post.

If you are not aware of the significance of antibiotic resistance read this article in The Week or simply google 'antibiotic resistance.'

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