Propionibacterium acnes (P. acnes) resistance and antibiotic use in patients attending Australian general practice

The Australasian Journal of Dermatology
Helen ToyneMarjan Kljakovic

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

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Citations

Feb 5, 2013·Future Microbiology·Nathalia Murillo, Didier Raoult
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
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

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