Evidence map›Paper›PMID 30296534›Full record

ReviewJournal of the American Academy of Dermatology2019

Approaches to limit systemic antibiotic use in acne: Systemic alternatives, emerging topical therapies, dietary modification, and laser and light-based treatments.

John S Barbieri, Natalie Spaccarelli, David J Margolis, William D James

Registry-linked trialOpen access · greenAbstract readComparative StudyReview
In one paragraph

Review in Journal of the American Academy of Dermatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06909344 (Effectiveness and Safety of 577-nm Diode Laser in the Treatment of Non -Inflammatory Acne), which is not on this map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
10.8field-weighted citation impact, top 1% 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.

NCT06909344 nacompletednot on this mapstarted 2025, after this paper: background citation

Effectiveness and Safety of 577-nm Diode Laser in the Treatment of Non -Inflammatory Acne

TypeinterventionalSponsorAl-Azhar UniversityRan2025 to 2026Enrolled50ConditionsAcneArms577 nm Diode laser
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 106 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Green-synthesized metal oxide nanoparticles enhance the antibacterial activity of Portulaca oleracea through foliar nano-elicitation.International microbiology : the official journal of the Spanish Society for Microbiology · 2026
    Article
  6. Review
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  8. Review
  9. Established and Emerging Laser Treatments for Acne Vulgaris in Diverse Skin Types.The Journal of clinical and aesthetic dermatology · 2025
    Review
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  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

John S BarbieriDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania. Electronic address: john.barbieri@uphs.upenn.edu.
Natalie SpaccarelliDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
David J MargolisDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Department of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
William D JamesDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
University of Pennsylvania · US

Funding

Penn Dermatology Research Training ProgramT32AR007465 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice, David Joel Margolis · 1986 to 2026
$9.0M
NIAMS NIH HHS T32 AR007465
6 · The paper itself

Abstract

Acne is one of the most common diseases worldwide and affects ∼50 million individuals in the United States. Oral antibiotics are the most common systemic agent prescribed for the treatment of acne. However, their use might be associated with a variety of adverse outcomes including bacterial resistance and disruption of the microbiome. As a result, multiple treatment guidelines call for limiting the use of oral antibiotics in the treatment of acne, although actual prescribing often does not follow these guidelines. In this review, the rationale for concerns regarding the use of oral antibiotics for the management of acne is reviewed. In addition, we will discuss our approach to complying with the intent of the guidelines, with a focus on novel topical agents, dietary modification, laser and light-based modalities, and systemic medications, such as spironolactone, combined oral contraceptives, and oral isotretinoin.

Indexed as

Diet, Protein-RestrictedPractice Guidelines as TopicAcne VulgarisAdministration, OralAdministration, TopicalAdultAnti-Bacterial AgentsEstheticsEvidence-Based MedicineFemaleHumansIsotretinoinLaser TherapyMalePhototherapyRisk AssessmentAnti-Bacterial AgentsIsotretinoinSpironolactoneacneantibioticsantibiotic stewardshipdietevidence-based medicineguidelinesisotretinoinlaserspironolactone

Identifiers

PMID30296534
PMCPMC6333507
OpenAlexW2895668624

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.