What's Behind Long-Term Antibiotic Prescribing for Acne?

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What's Behind Long-Term Antibiotic Prescribing for Acne?
Acne VulgarisAcneiform EruptionsClinical Guidelines
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'This study explored why dermatologists still prescribe a good number of long-term antibiotics for people with acne,' the study's senior author Howa Yeung, MD, MSc, said in an interview.

Dermatologists are well aware of guidelines limiting long-term antibiotic use for acne to 3-4 months, but a perceived lack of supporting data, along with in-office realities unaddressed by guidelines, hinder clinicians' ability and willingness to follow them, according to the authors of a recently published study.

A major reason why dermatologists struggle to limit long-term antibiotic use is that there are very few substitutes that are perceived to work as well, said, who was not involved with the study and was asked to comment on the results. He is a professor of epidemiology and dermatology at the University of Pennsylvania, Philadelphia.

Although guidelines were never meant to be black and white, Dr Yeung said, it is crucial to target the goal of tapering off after about 3-4 months — a cutoff with which guidelines from groups including the in 2019, 76.9% said they would be"very or extremely likely" to use effective antibiotic-free treatments if offered.

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