Evidence map›Paper›PMID 41640785›Full record

ReviewThe Journal of clinical and aesthetic dermatology2025

Optimal Use Recommendations and Stewardship Principles with Oral Antibiotics in Acne Vulgaris Management: An Expert Consensus Panel.

Angela L Rosenberg, Milaan Shah, James Q Del Rosso, Hilary Baldwin, Julie Harper, Adelaide A Hebert, Jonette Keri, Pearl Kwong, Evan Rieder, Linda Stein Gold and 4 more

Abstract readReview
In one paragraph

Review in The Journal of clinical and aesthetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Phage-Derived Endolysins TargetingAntibiotics (Basel, Switzerland) · 2026
    Review
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

14 authors.

Angela L RosenbergDrs. Rosenberg, Bartley, and DeBusk are with the Department of Dermatology at UT Southwestern Medical Center in Dallas, Texas.
Milaan ShahDr. Shah is with the Department of Dermatology at the Medical University of South Carolina in Charleston, South Carolina.
James Q Del RossoDr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada and Section of Dermatology at Touro University Nevada in Henderson, Nevada.
Hilary BaldwinDr. Baldwin is with The Acne Treatment and Research Center in Brooklyn, New York and Robert Wood Johnson University Hospital in New Brunswick, New Jersey.
Julie HarperDr. Harper is with the Dermatology and Skin Care Center of Birmingham in Birmingham, Alabama.
Adelaide A HebertDr. Hebert is with the Departments of Dermatology and Pediatrics at UT Health McGovern Medical School and Children's Memorial Hermann Hospital in Houston, Texas.
Jonette KeriDr. Keri is with University of Miami, Miller School of Medicine and the Miami VA Medical Center in Miami, Florida.
Pearl KwongDr. Kwong is with PCK Derm LLC in Jacksonville, Florida and Suncoast Skin Solutions and Apex Clinical Trials in Tampa, Florida.
Evan RiederDr. Rieder is in private practice in New York, New York.
Linda Stein GoldDr. Stein Gold is with the Department of Dermatology at Henry Ford Hospital in Detroit, Michigan.
Brooke BartleyDrs. Rosenberg, Bartley, and DeBusk are with the Department of Dermatology at UT Southwestern Medical Center in Dallas, Texas.
Joshua BurshteinDr. Burshtein is with the Department of Dermatology at the University of Illinois Chicago in Chicago, Illinois.
Lauren DeBuskDrs. Rosenberg, Bartley, and DeBusk are with the Department of Dermatology at UT Southwestern Medical Center in Dallas, Texas.
Danny ZakriaDr. Zakria is with the Department of Dermatology at the Icahn School of Medicine at Mount Sinai in New York, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this meeting was for an expert panel to analyze current literature and provide updated consensus statements regarding the optimal management, safety, and efficacy of oral antibiotics in acne vulgaris (AV).

methodsA thorough literature search was conducted across PubMed, Scopus, and Google Scholar to identify English-language original research articles evaluating the use of oral antibiotics for AV. An expert panel of 8 dermatologists, specializing in the management of AV, convened to assess the findings and develop statements regarding oral antibiotics for AV. Each statement was approved through a modified Delphi process, and a strength of recommendation was assigned based on the Strength of Recommendation Taxonomy (SORT) criteria.

resultsA total of 544 articles regarding the safety, efficacy, and management of oral antibiotics for AV were identified through the literature search. Following a rigorous screening process, 17 articles were deemed relevant to the research questions and provided to the panelists for review prior to the roundtable discussion. The panel reached unanimous agreement on 10 consensus statements and recommendations, assigning seven a strength of A, one a strength of B, and two a strength of C.

conclusionThe expert panel concluded that oral antibiotics can be used in the treatment of moderate-to-severe AV, oral antibiotics should be combined with topical treatments, and duration of use should be determined based on individualized patient care. Tetracyclines are recognized options for AV therapy, with sarecycline considered a preferred option for AV due to its targeted mode of action, unique ribosomal binding properties, narrow spectrum of antibiotic activity, lower bacterial resistance risk, and overall better tolerability. Additionally, tetracyclines should be avoided in pregnancy and in young children.

Indexed as

Acne vulgarisdoxycyclineminocyclineoral antibioticssarecyclinetetracyclines

Identifiers

PMID41640785
PMCPMC12867529

What OpenQuestion holds

Textmetadata
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.