Treatment of gram-negative folliculitis in patients with acne.
Am J Clin Dermatol
; 4(4): 273-6, 2003.
Article
de En
| MEDLINE
| ID: mdl-12680804
ABSTRACT
Gram-negative folliculitis may be the result of long-term antibacterial treatment in acne patients. It is caused by bacterial interference and replacement of the Gram-positive flora of the facial skin and the mucous membranes of the nose and infestation with Gram-negative bacteria. These Gram-negative bacteria include Escherischia coli, Pseudomonas aeruginosa, Serratia marescens, Klebsiella and Proteus mirabilis. The occurrence of Gram-negative folliculitis should be considered in acne patients in whom oral treatment with tetracyclines has not resulted in a significant improvement of acne lesions after 3-6 months' treatment. The occurrence of Gram-negative folliculitis in acne patients is believed to be generally underestimated, since correct sampling and bacteriology is rarely performed by clinicians. Gram-negative folliculitis in acne and rosacea patients is best treated with isotretinoin (0.5-1 mg/kg daily for 4-5 months).
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Isotrétinoïne
/
Infections bactériennes à Gram négatif
/
Produits dermatologiques
/
Folliculite
/
Bactéries à Gram négatif
Limites:
Humans
Langue:
En
Journal:
Am J Clin Dermatol
Sujet du journal:
DERMATOLOGIA
Année:
2003
Type de document:
Article
Pays d'affiliation:
Suisse