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Dags att minska användningen av antibiotika vid rosacea [Time to limit the use of antibiotics in rosacea!]
Hudmottagningen, Göteborg, Sweden.
Uppsala, Sweden.
Brämhults Vårdcentral - Borås, Sweden.
Infektions och Hudkliniken, Blekingesjukhuset - Karlskrona, Sweden.
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2018 (English)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 115Article, review/survey (Refereed) Published
Abstract [en]

Rosacea is a chronic inflammatory disease with facial erythema and papulopustules. It is common in middle-aged/elderly persons and often affects self-perception and social well-being. It is generally classified into four subtypes. Improved understanding of pathophysiology has resulted in novel treatment approaches, but routine management in health care usually follows old trails. Most patients are managed in primary care. Greater attention to the reduced skin barrier, avoidance of exacerbating factors, better topicals and encouragement to topical maintenance treatment should reduce the use of oral tetracyclines. Low-dose isotretinoin is reserved for treatment-resistant patients, but relapses are frequent unlike its use in acne. In order to reduce antibiotic use, we propose that patients should be referred to a dermatologist for optimization of therapy including consideration of isotretinoin following tetracycline treatment of a maximum of 4-6 months.

Place, publisher, year, edition, pages
Läkartidningen förlag , 2018. Vol. 115
National Category
General Practice
Identifiers
URN: urn:nbn:se:liu:diva-155847PubMedID: 29714807OAI: oai:DiVA.org:liu-155847DiVA, id: diva2:1300693
Available from: 2019-03-29 Created: 2019-03-29 Last updated: 2019-03-29

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Synnerstad, Ingrid

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Division of Cell BiologyFaculty of Medicine and Health SciencesDepartment of Dermatology and Venerology
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