Acne – Possible Link to MRSA

There is growing evidence that the major cause of MRSA is the inappropriate over prescribing of antibiotics by general practitioners. This is not news and it is common knowledge that most infections are viral and do not require antibiotics.

Also it is well known that antibiotics upset gut bacteria and lead to overgrowth of the intestinal tract with fungi such as Candida which is present in everyones guts, but normally kept in check by the probiotic bacteria surrounding it and which also produce chemicals to keep it in check. Antibiotic use can reduce the probiotic bacteria and allow the fungus to grow which over time can lead to inflammation and misdiagnosis of IBS later in life and open another chapter in prescribing.

A downward spiral we dont want to promote. Candida overgrowth and dysbiotic guts probably affect millions of 20 something’s who have just had years of antibiotics for acne, or million of 40 somethings who have been put on antibiotics for rosacea. We have clever ways of restoring the normal bacterial balance and reducing Candida without harsh antifungals.

However the use of antibiotics for skin infections such as acne and rosacea often at low doses and often for 3 to 6 months at a time is possibly a cause of MRSA in some patients (multi resistant Staphylococcus aureus) in hospitals.

It doesn’t matter whether oral or cream antibiotics are used they cause the same problem. In acne if you have many blocked pores (pilo sebaceous ducts) then the anaerobic bacteria propiobacterium acnes can start to colonise the area under the plug and cause inflammation and damage. This bacterium only survives in normal skin at very low levels as it likes to live in an environment where there is little or no oxygen. When you create a blockage as with acne, you create the environment for acnes. So antibiotics can help to reduce it, but they also hit other friendly skin bacteria and herein lies the problem.

Staphylococcus epidermidis lives on our skin and helps keep other nasty bacteria away. It likes an oxygen rich environment. The same antibiotics that reduce acnes often hit the staphylococcus epidermidis as well.

Now Staphylococcus epidermidis is related to Staphylococcus aureus. It lives inside the body and staphylococcus epidermidis lives on the skin. They meet at places such as the nose and other entrances into the body. They can pass information to each other through the use of things called plasmids and it is highly likely information for developing resistance is transferred.

Hey presto we have started the super bug development. The acne sufferer ends up in hospital for an operation. They get a wound infection either from their own bacteria but also through other bugs already there. S.aureus is a typical bacterium that infects wounds. The antibiotics used for wound infections are often the same or similar to the one that has been used for the patients acne, and it is not surprising they find the antibiotics dont work as the bugs are already resistant. This resistant strain becomes the dominant resident s.aureus in the hospital and is extremely difficult to remove and can go on to infect many other patients.

Using a product such as Aknicare which has 4 antibacterial agents which control p.acnes by changing conditions in the area under the plug rather than directly destroying it means you can prevent damage and inflammation without breeding resistant bugs. Aknicare can reduce p.acnes and all the other key causes of an acneic skin, such as inflammation, oil production, cell turnover all without breeding resistant bugs.

As a final thought the main treatment for rosacea recommended is rosex creams and gels. Rosex contains the antibiotic metronidazole. Rosacea patients often use it for months and years.

It works in a few. Metronidazole is also a powerful antioxidant and it is these properties that help with rosacea symptoms, not the antibiotic properties. Rosacea is not caused by bacteria. It is a sobering thought that the antibiotic most used in theatre to prevent infections during and shortly after surgery is metronidazole. Imagine if you had been using it for months or years before that operation.

Identify Your Acne Before You Get Treatment

Understanding how to treat your Acne involves knowing which type of Acne may have. Acne has many variations, ranging in severity from mild to much more serious cases that can cause disfigurement. There are many treatments for acne available on the market, but it is very important to first identify your Acne type before choosing a treatment.

Acne Vulgaris

The most common form of Acne is named Acne Vulgaris. This type of acne can be easily identified by looking at the characteristics of the lesions.

Whiteheads: When a pore becomes completely blocked by trapping sebum, dead skin cells, and bacteria, you will notice a white appearance on the surface. Whiteheads normally will disappear fast than blackheads on your skin. You should resist the temptation to pop these pimples

Blackheads: When are pore is only partially blocked, the trapped sebum, bacteria and dead skin will have slowly drained to the surface of your skin. The black color is caused by your skins pigment and melanin reacting with oxygen. Blackheads will normally take longer to disappear than whiteheads. You should also resist the temptation to pop these pimples too.

Pustules: You can identify a pustule by a red circle with a white or yellow center. The pustule will look similar to a whitehead with the difference being inflammation. Pustules are commonly referred to as Zits.

Papules: The papule is a red, inflamed and tender bump on the skin with no visible head. You should not attempt to squeeze this lesion as you may cause or exacerbate scarring.

Severe Acne Vulgaris: The sever types of Acne Vulgaris include Nodules and Cysts and will be quite painful. You should consult your dermatologist for treating these types of acne.

Acne Rosacea

Acne Rosacea may look very similar to Acne Vulgaris and often causes confusion. Millions of people are affected by Acne Rosacea, and it mostly strikes people over the age of 30. It will start to appear as a reddish rash on the cheeks, forehead, nose and/or chin. You may also notice small bumps, skin blemishes or pimples in the area. Blackheads are not a symptom of Rosacea.
You should consult your dermatologist if you suspect you have Rosacea, because treatment is often very different.

There are other very serious forms of Acne such as Acne Conglobata, Acne Fulminans, Gram-Negative Folliculitis and Pyoderma Faciale. These forms of Acne are very rare, but they can be disfiguring, painful and have psychological effects.

It is always recommended that you consult with your dermatologist to confirm the type of Acne you have and the best treatments available.

The above information should only be used as a reference, and only a trained dermatologist can accurately diagnose your Acne.