Optimizing Non-Antibiotic Treatments for Patients with Acne: A Review. Issue 4 (December 2016)

• Record Type: Journal Article
• Authors: Canavan, Theresa; Chen, Edward; Elewski, Boni
• Is Part Of: Dermatology and therapy. Volume 6:Issue 4(2016)
• Page Start: 555
• Page End: 578
• Publication Date: 2016-12
• Subjects: Azelaic acid -- Acne -- Antibiotics -- Isotretinoin -- Light therapy -- Retinoids -- Spironolactone -- Subantimicrobial; Dermatologic agents -- Periodicals; Skin -- Diseases -- Treatment -- Periodicals; Dermatology -- Periodicals; Skin Diseases -- Periodicals; Dermatologic Agents -- Periodicals; Dermatologic Surgical Procedures -- Periodicals; 616.506
• DOI: 10.1007/s13555-016-0138-1
• Languages: English
• ISSNs: 2193-8210

Abstract

Abstract Acne is a very common non-infectious skin condition that is frequently treated in dermatological practices. Because acne is often chronic and may persist for years, safe and effective long-term maintenance therapy is often required. Given the increasing frequency of antibiotic-resistant bacteria and the gravity of the consequences of this trend, it behooves dermatologists to maximize use of non-antimicrobial therapy when treating acne. In this review of the literature we present data regarding the efficacy and appropriate use of non-antimicrobial treatments for acne. A variety of topical and oral treatment options exist that can be used in a step-wise manner according to the patients' severity and therapeutic response. Non-antimicrobial treatments can be highly efficacious at controlling acne, especially when used as maintenance therapy. While antibiotics have a role in acne treatment, they should not be used as monotherapy, and lengthy courses of antibiotic use are discouraged.