Evidence map›Paper›PMID 21482860›Full record

ArticleArchives of dermatology2011

Antibiotics, acne, and Staphylococcus aureus colonization.

Matthew Fanelli, Eli Kupperman, Ebbing Lautenbach, Paul H Edelstein, David J Margolis

Open access · greenAbstract read
In one paragraph

Article in Archives of dermatology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. A systematic review and meta-analysis on Staphylococcus aureus carriage in psoriasis, acne and rosacea.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016
    Pooled it
  2. Emerging antimicrobial resistance amongJournal of family medicine and primary care · 2026
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  3. Review
  4. Identification of 2,4-Di-Antibiotics (Basel, Switzerland) · 2024
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  6. Topical application of bacteriocins fromPostepy dermatologii i alergologii · 2023
    Article
  7. A Double Payload Complex between Hypericin and All-Antibiotics (Basel, Switzerland) · 2022
    Article
  8. Hydrogel ContainingGels (Basel, Switzerland) · 2022
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Formulation of Creams ContainingMolecules (Basel, Switzerland) · 2020
    Article
  14. Temporal shifts in the collective dermatologic microbiome of military trainees.Clinical, cosmetic and investigational dermatology · 2019
    Article
  15. Antibiotic susceptibility profile and prevalence ofInfection and drug resistance · 2019
    Article
  16. Article
  17. Preparation and pharmaceutical evaluation of nicotinamide stick for eradication of Staphylococcus epidermidis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2014
    Article
  18. Article
  19. Article
  20. Staphylococcus aureus in Acne Pathogenesis: A Case-Control Study.North American journal of medical sciences · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Matthew FanelliDepartment of Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
Eli Kupperman
Ebbing Lautenbach
Paul H Edelstein
David J Margolis
University of Pennsylvania · US

Funding

Acne and group A strep: an unknown burdenR01AR051185 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MARGOLIS, DAVID · 2005 to 2008
$1.8M
Mentoring and patient-oriented research in antimicrobial resistanceK24AI080942 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAUTENBACH, EBBING · 2009 to 2013
$853k
NIAID NIH HHS K24 AI080942NIAMS NIH HHS R01 AR051185NIAMS NIH HHS R01AR051185
6 · The paper itself

Abstract

objectivesTo determine the frequency of Staphylococcus aureus colonization among patients with acne and to compare the susceptibility patterns between the patients who are using antibiotics and those who are not using antibiotics.

designSurvey (cross-sectional) study of patients treated for acne.

settingDermatology outpatient office practice

participantsThe study included 83 patients who were undergoing treatment and evaluation for acne. MAIN OUTCOME: Measure Colonization of the nose or throat with S aureus.

resultsA total of 36 of the 83 participants (43%) were colonized with S aureus. Two of the 36 patients (6%) had methicillin-resistant S aureus ; 20 (56%) had S aureus solely in their throat; 9 (25%) had S aureus solely in their nose; and 7 (19%) had S aureus in both their nose and their throat. When patients with acne who were antibiotic users were compared with nonusers, the prevalence odds ratio for the colonization of S aureus was 0.16 (95% confidence interval [CI], 0.08-1.37) after 1 to 2 months of exposure and increased to 0.52 (95% CI, 0.12-2.17) after 2 months of exposure (P = .31). Many of the S aureus isolates were resistant to treatment with clindamycin and erythromycin (40% and 44%, respectively), particularly the nasal isolates. Very few showed resistance rates (< 10%) to treatment with tetracycline antibiotics.

conclusionUnlike current dogma about the long-term use of antimicrobial agents, the prolonged use of tetracycline antibiotics commonly used to treat acne lowered the prevalence of colonization by S aureus and did not increase resistance to the tetracycline antibiotics.

Indexed as

Acne VulgarisAnti-Bacterial AgentsCross-Sectional StudiesDrug Resistance, BacterialFemaleHumansMaleStaphylococcus aureusYoung AdultAnti-Bacterial Agents

Identifiers

PMID21482860
PMCPMC3223533
OpenAlexW2141645724

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.