Abstract
Antibiotic resistance in the community, including transfer between bacteria, is a growing concern for clinicians. Acne is commonly treated in general practice, sometimes with antibiotics. The aim of this study is to measure the rate of carriage of antibiotic resistant Propionibacterium acnes 10 years apart in general practice and the relationship of resistance to type of treatment, as well potential effects on other flora. Patients (N = 215) with acne presenting to Australian Capital Territory and south-eastern New South Wales general practices were swabbed for P. acnes in 1997-1998 and 2007. Clinical details were collected with questionnaires. In 2007 swabs were also taken for Staphylococcus aureus and Streptococcus pneumoniae. GP's diagnostic classification of acne was tested using a set of standard photographs. Resistant P. acnes was isolated from 20 patients (9%) and the proportion that was resistant was the same in 1997-1998 and in 2007. Antibiotic use, particularly topical, was associated with P. acnes resistance. Resistance rates declined with the time elapsed since ceasing antibiotics. Use of retinoids was associated with a decreased chance of growing P. acnes (P = 0.008) but not with decreased resistance. Simultaneous ...Continue Reading
References
Mar 1, 1991·Journal of the American Academy of Dermatology·P E PochiG Plewig
Aug 1, 1983·Journal of Medical Microbiology·J M Brown, S M Poston
Jul 1, 1984·The British Journal of Dermatology·B M Burke, W J Cunliffe
Mar 31, 1999·The Australasian Journal of Dermatology·R Marks
Jan 5, 2002·BMJ : British Medical Journal·Dilruba NasrinRobert M Douglas
May 10, 2002·The British Journal of Dermatology·P CoatesW J Cunliffe
Jul 26, 2002·Journal of the American Academy of Dermatology·Harold P LehmannSteven N Goodman
Feb 5, 2003·Dermatology : International Journal for Clinical and Investigative Dermatology·E A EadyJ J Leyden
Dec 4, 2003·American Journal of Clinical Dermatology·Anne E EadyAlison M Layton
Nov 24, 2004·Clinics in Dermatology·Andreas D KatsambasWilliam J Cunliffe
Feb 7, 2008·PloS One·Teruaki NakatsujiChun-Ming Huang
Mar 4, 2008·British Journal of Pharmacology·P M Hawkey
Sep 13, 2008·The Journal of Investigative Dermatology·Jenny Kim
Jan 6, 2009·Microbiology and Immunology·Natsumi IshidaMasanori Sasatsu
Citations
Mar 17, 2001·The British Journal of Dermatology·J I RossS Oshima
Feb 5, 2013·Future Microbiology·Nathalia Murillo, Didier Raoult
Mar 10, 2016·Indian Journal of Dermatology·Kabir SardanaVijay K Garg
Mar 2, 2016·Biofouling·Chandran SivasankarShunmugiah Karutha Pandian
Apr 18, 2014·International Journal of Dermatology·Kabir Sardana, Vijay K Garg
May 7, 2016·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J E E TottéS G M A Pasmans
Jun 17, 2016·Dermatologic Therapy·Georgia Farrah, Ernest Tan
Dec 3, 2014·Anaerobe·Lambros GiannopoulosAthanassios Tsakris
May 31, 2015·Expert Review of Anti-infective Therapy·Kabir SardanaSneha Ghunawat
Jun 1, 2020·Journal of the European Academy of Dermatology and Venereology : JEADV·A S KaradagL C Parish
Nov 5, 2016·The Medical Journal of Australia·Peter J CollignonJennifer Mb Robson
May 23, 2021·Actas dermo-sifiliográficas·H J Castellanos LorduyC L Colorado
Apr 3, 2013·Molecular Pharmaceutics·Kaisar RazaOm Prakash Katare