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Published on: November 1, 2024
Antimicrobial susceptibility of strains of Propionibacterium acnes isolated from inflammatory acne
Walter Gübelin1, M Angélica Martínez, M Teresa Molina
1Department of Dermatology, Faculty of Medicine, University of Chile.
Abstract:
In the last decade, a significant increase in the antimicrobial resistance of clinical specimens of Propionibacterium acnes to first line antibiotics used for acne treatment, has been informed in Europe and in the USA. No information about strains isolated from Latin-American countries is available. The antimicrobial susceptibility of 53 strains of P. acnes isolated from skin specimens of inflammatory acne patients, at the clinical Hospital University of Chile was tested. All isolates were susceptible to penicillin, minocycline, and nadifloxacin. Erythromycin and clindamycin resistance was found in 3.8 and 1.9% isolates respectively. Resistance to lymecycline was observed in one isolate, which was intermediate to tetracycline and doxycycline.
Insights
Propionibacterium acnes, a bacteria causing acne, shows low resistance to common antibiotics in Chile. Most strains remain susceptible to penicillin and minocycline, with minimal erythromycin and clindamycin resistance observed.
Area of Science:
- Dermatology
- Microbiology
- Infectious Diseases
Background:
- Increasing antimicrobial resistance of Propionibacterium acnes to acne treatments is reported globally.
- Limited data exists on P. acnes antimicrobial susceptibility in Latin America.
Purpose of the Study:
- To evaluate the antimicrobial susceptibility of P. acnes strains isolated from Chilean patients with inflammatory acne.
- To provide data on P. acnes resistance patterns in a Latin American population.
Main Methods:
- Antimicrobial susceptibility testing was performed on 53 P. acnes isolates from skin specimens.
- Standard microbiological methods were employed to determine resistance profiles.
Main Results:
- All 53 P. acnes isolates were susceptible to penicillin, minocycline, and nadifloxacin.
- Low rates of resistance were observed: 3.8% for erythromycin and 1.9% for clindamycin.
- One isolate showed resistance to lymecycline, with intermediate susceptibility to tetracycline and doxycycline.
Conclusions:
- Propionibacterium acnes strains in Chile demonstrate high susceptibility to key antibiotics like penicillin and minocycline.
- The findings suggest current first-line treatments may remain effective for acne in this region.
- Further surveillance is recommended to monitor potential shifts in antimicrobial resistance patterns.
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