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A primer on topical antibiotics for the skin and eyes
1St Luke's Roosevelt Hospital Center, Department of Dermatology, New York, NY 10029, USA. NSS32@columbia.edu
Abstract:
A thorough knowledge of all topical antibiotics treatment options is important as more pathogens become resistant to standard therapies. As resistance to mupirocin increases, it seems that triple antibiotic ointments and retapamulin (the newest FDA-approved agent) will have greater roles in treating impetigo and skin infections. Awareness of all these agents provides a dermatologist additional tools with which to treat skin infections. As a wide variety of topical antibiotics, combination antibiotics, and combination anti-inflammatory preparations used by ophthalmologists are not part of the therapeutic armamentarium of most dermatologists, this review will provide the knowledge needed to rationally use such ophthalmologic preparations. Finally, information related to the topical nadifloxacin for acne and skin infections, which is in clinical use in Japan, is summarized.
Insights
As antibiotic resistance grows, dermatologists need to know about topical antibiotics like retapamulin and triple antibiotic ointments for skin infections. This review covers these and other options, including ophthalmologic preparations and nadifloxacin.
Area of Science:
- Dermatology
- Infectious Diseases
- Pharmacology
Background:
- Increasing pathogen resistance to standard therapies necessitates a thorough understanding of topical antibiotic options.
- Mupirocin resistance is rising, highlighting the need for alternative treatments for impetigo and skin infections.
Purpose of the Study:
- To review current and emerging topical antibiotic treatments for skin infections.
- To inform dermatologists about ophthalmologic preparations and topical nadifloxacin for broader therapeutic use.
Main Methods:
- Literature review of topical antibiotics, combination therapies, and anti-inflammatory preparations.
- Summary of agents including retapamulin, triple antibiotic ointments, and nadifloxacin.
Main Results:
- Retapamulin and triple antibiotic ointments are expected to play larger roles due to mupirocin resistance.
- Ophthalmologic topical antibiotics and anti-inflammatory preparations offer additional treatment options for dermatologists.
- Topical nadifloxacin, used in Japan for acne and skin infections, is also discussed.
Conclusions:
- Dermatologists require comprehensive knowledge of diverse topical antibiotics to combat rising resistance.
- Expanding the therapeutic armamentarium with ophthalmologic preparations and agents like nadifloxacin can improve patient outcomes.
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