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European recommendations on the use of oral antibiotics for acne


European Journal of Dermatology. Volume 14, Number 6, 391-9, November-December 2004, Therapy


Summary  

Author(s) : Brigitte DRÉNO, Vincenzo BETTOLI, Falk OCHSENDORF, Alison LAYTON, Håkan MOBACKEN, Hugo DEGREEF , Department of Dermatology, Hotel Dieu, Place Alexis Ricordeau, 44093 Nantes Cedex 01, France, Clinica Dermatologica, Azienda Ospedaliera Arispedale S. Anna, Università degli Studi di Ferrara, Corso Giovecca 189, 44100 Ferrara, Italy, Klinikum der Johann Wolfgang Goethe‐Universitat, Zentrum der Dermatologie und Venerologie (ZDV) Theodor‐Stern‐Kai 7, D‐60590 Frankfurt am Main, Germany, Harrogate District Hospital, Lancaster Park Rd, Harrogate, North Yorks, HG2 7SX, UK, Department of Dermatology, Sahlgrenska University Hospital, S‐413 45 Göteborg, Sweden, University Hospital St Rafaël, Department of Dermatology, Kaucijnenvoer, 33, B3000 Leuven, Belgium .

Summary : Non‐rational prescribing of oral antibiotics in acne is common, and there is currently an unmet need for up‐to‐date guidelines that specifically address these issues. Presented here is a set of recommendations on the use of oral antibiotics in acne, developed by a group of European acne specialists, designed to be considered by dermatologists and general practitioners in their daily practice throughout Europe. Recommendations cover optimal choice of antibiotic, drug doses, duration of treatment, combination treatment, and maintenance therapy.

Keywords : Acne vulgaris, oral antibiotics, treatment recommendations. Disclaimer These recommendations have been prepared for dermatologists and general practitioners on behalf of the ‘European expert group on oral antibiotics in acne’ and reflect the best data available at the time the report was prepared. Caution should be exercised in interpreting the data: the results of future studies may require alteration of the conclusions or recommendations of this report. It may be necessary or even desirable to depart from the recommendations in the interests of specific patients or special circumstances. Just as adherence to these recommendations may not constitute a defence against a claim of negligence, so deviation from them should not necessarily be deemed negligent.

Pictures

Figure 1. Acne treatment algorithm suggested by Gollnick et al. (2003) [5]. Reprinted from the Journal of the American Academy of Dertatology, Vol. 49 (I suppl.); Gollnick et al. Management of acne: a report from a global alliance to improve outcomes in acne, pages S1-S38, © 2003, American Academy of Dermatology, Inc, with permission from Elsevier.


 

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