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Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
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Related Experiment Video

Updated: Jun 2, 2026

Deferred Growth Inhibition Assay to Quantify the Effect of Bacteria-derived Antimicrobials on Competition
07:42

Deferred Growth Inhibition Assay to Quantify the Effect of Bacteria-derived Antimicrobials on Competition

Published on: September 3, 2016

Antibiotics, acne, and Staphylococcus aureus colonization.

Matthew Fanelli1, Eli Kupperman, Ebbing Lautenbach

  • 1Department of Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.

Archives of Dermatology
|April 13, 2011
PubMed
Summary
This summary is machine-generated.

Long-term tetracycline antibiotic use for acne reduced Staphylococcus aureus colonization without increasing resistance. This challenges conventional thinking on antimicrobial agent use in acne treatment.

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Development and Assessment of Intracellular Infection Models for Staphylococcus aureus
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Deferred Growth Inhibition Assay to Quantify the Effect of Bacteria-derived Antimicrobials on Competition
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Published on: September 3, 2016

Development and Assessment of Intracellular Infection Models for Staphylococcus aureus
08:32

Development and Assessment of Intracellular Infection Models for Staphylococcus aureus

Published on: January 17, 2025

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Microbiology

Background:

  • Staphylococcus aureus colonization is common in patients with acne.
  • The impact of antibiotic therapy on S. aureus colonization and resistance patterns in acne patients is not fully understood.

Purpose of the Study:

  • To determine the frequency of S. aureus colonization in acne patients.
  • To compare S. aureus susceptibility patterns between antibiotic users and non-users.

Main Methods:

  • Cross-sectional survey study conducted in a dermatology outpatient setting.
  • Included 83 patients undergoing treatment for acne.
  • Assessed S. aureus colonization in the nose or throat.

Main Results:

  • 43% of participants (36/83) were colonized with S. aureus.
  • Methicillin-resistant S. aureus (MRSA) was found in 6% of colonized patients.
  • S. aureus isolates showed high resistance to clindamycin (40%) and erythromycin (44%), but low resistance (<10%) to tetracycline antibiotics.

Conclusions:

  • Prolonged use of tetracycline antibiotics for acne decreased S. aureus colonization.
  • Tetracycline use did not increase resistance to these antibiotics, contrary to general concerns about antimicrobial agents.
  • Findings suggest tetracyclines may have a beneficial role in managing S. aureus colonization in acne patients.