Acne (and Rosacea) 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 everyone’s 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 don’t 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 something’s 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 probably the biggest cause of MRSA (multi resistant Staphylococcus aureus) in hospitals. Let me explain.

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 (p.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 p.acnes. So antibiotics can help to reduce p.acnes, but they also hit other friendly skin bacteria and herein lies the problem.

Staphylococcus epidermidis (s.epidermidis) lives on our skin and helps keep other nasty bacteria away. It likes an oxygen rich environment. The same antibiotics that reduce p.acnes often hit the s.epidermidis as well. This attack puts selective pressure on the bacteria to survive and within three or four weeks you can isolate resistant strains s.epidermidis on skin being treated with antibiotics.

Now Staphylococcus epidermidis is related to Staphylococcus aureus (s.aureus) (cousins if you like). S. aureus lives inside the body and s.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 patient’s acne, and it is not surprising they find the antibiotics don’t 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 (inflammation, oil production, cell turnover) all without breeding resistant bugs.

As a final thought the main treatment for rosacea recommended on PRODIGY, the GP prescribing database recommends 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.

It is concerning to think the antibiotic you are using today could end up leading to someone dying in hospital in the near future. Change prescribing habits for acne and rosacea now and have an impact on MRSA in hospitals.

Use Aknicare, a new medical device with a CE mark . Once in the drug tariff this should be prescribed by GPs. PCTs should act now

Acne Advice For People Wanting Blemish Free Skin

Acne is a disorder of the skin that affects adults as well as teens. It occurs when follicles, or pores, become blocked. Oils, naturally present in skin, are unable to drain and become blocked inside the follicles. Before long bacteria begins to grow.

Skin blemishes referred to as blackheads and whiteheads then begin to appear. When the oil and bacteria that is trapped remain below the skin, the blemish is referred to as a whitehead. A blackhead occurs when the oil and bacteria are partially exposed. The color of the blemish turns black due to pigmentation within the skin. Blackheads usually last far longer than whiteheads due to the fact that it takes longer to drain.

It is believed that hormones, diet, stress and vitamin deficiency may play a role in the development of acne. While acne includes both whiteheads and blackheads, there are a variety of types of acne that range in severity.

When selecting an acne care product line, be sure to pick one that will care for your skin as well as treat blemishes. Keeping your skin healthy isn't just about avoiding pimples and blackheads. Your acne products should moisturize and cleanse just like a regular skin care line, with the added benefit of treating your acne.

Acne Vulgaris is the most common form of acne and includes everything from whiteheads and blackheads to cysts. Acne Vulgaris may be either mild or moderate as well as severe. The mild and moderate forms of Acne Vulgaris include common pimples with inflammation apparent below the surface of the skin as well as blackheads. Small red bumps that have no ‘head’ may also be present and are known as papules.

Acne Vulgaris in its most severe form includes lesions that are known as nodules and cysts. These are normally much larger than mild or moderate acne and may be more painful. Nodules are usually small and hard, below the skin and do not contain pus while cysts do. Scars can appear if Acne Vulgaris is not treated correctly.

Did you know that acne can be caused by allergies? Allergies are a natural reaction that your immune system uses to fight off something that is trying to work it's way to inside your body. The problem is, your body can sometimes end up fighting things it just doesn't need to, because it was incorrectly programmed to do so. An allergy specialist can help by testing to find what allergies you do have. It could be something simple, such as dairy, or it could be more complex such as the paraffin wax in your hairspray. If your allergies are bad enough, an allergist can even give you shots that help to reprogram you body so that it no longer fights the things it doesn't need to fight.

A gentle cleanser and a benzoyl peroxide cream can be effective in treating mild to moderate forms of Acne Vulgaris. Avoid overwashing; gently cleansing the face in the morning and at night should be sufficient. Taking care not to touch your face during the day and using oil free cosmetics may also help. Extreme caution should be used in trying to ‘pop’ pimples, as this can result in scarring. Papules (small red bumps with no head) should never be popped or squeezed.

Acne Rosacea can easily be confused with Acne Vulgaris and often appears to be quite similar. Most people who suffer from Acne Rosacea are adults over the age of 30. A red rash along with bumps and pimples signal the presence of Acne Rosacea, which normally appears on cheeks, nose, forehead and chin. Blackheads are normally not present with Acne Rosacea. This type of acne can be quite serious because when it is left untreated it can actually cause excessive tissue to begin growing.

Resist the temptation to pick at and pop zits. Using a treatment cream is a better alternative. You can cause scarring and infection by picking acne. Picking at your skin can cause skin discolorations that last for years.

There are three types of extremely severe acne; all of which can be disfiguring. Acne Conglobata usually appears in men instead of women. It is commonly found on the trunk and limbs of the body instead of the face. Individuals normally develop this form of acne at some point between the ages of 18 and 30. It can remain active for several years and can be extremely difficult to treat. Dermatologists normally use Accutane as a treatment.

Young men sometimes experience what is known as Acne Fulminans. Typical acne may be accompanied by fever and aching joints with the onset of Acne Fulminans. Oral steroids as well as Accutane may be used to treat this form of acne.

Increasing the amount of the mineral zinc in your diet can help treat acne. The best way to be sure you are getting enough zinc is to start taking a supplement. A dose of 25 or 50 milligrams taken three times per day can leave your skin healthy and clear.

Women between the ages of 20 and 40 may experience what is known as Pyoderma Faciale. This type of acne is generally confined to the face. Unlike other forms of acne, this form does not last for years; instead its presence is normally restricted to a year or less. It can, however; be very painful as well as disfiguring.