在中使用口服抗生素的最佳使用建议和管理原则:专家共识小组
Angela L Rosenberg1, Milaan Shah2, James Q Del Rosso3
1Drs. Rosenberg, Bartley, and DeBusk are with the Department of Dermatology at UT Southwestern Medical Center in Dallas, Texas.
The Journal of clinical and aesthetic dermatology
|February 5, 2026
概括
口服抗生素在与局部治疗相结合时,对中度至重度的 (AV) 有效. 沙雷环素是由于其安全性和有效性而首选的四环素选择,但应避免在怀孕和幼儿时使用.
科学领域:
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
- 内部医学 内部医学
背景情况:
- 常见 (AV) 管理需要关于口服抗生素使用的最新指南.
- 对AV的最佳治疗策略正在不断发展.
- 专家的共识对于标准化护理至关重要.
研究的目的:
- 分析关于口服抗生素治疗的当前文献.
- 提供关于AV管理,安全性和疗效的最新共识声明.
- 建立专家建议的口服抗生素治疗在AV.
主要方法:
- 在主要数据库中进行了全面的文献搜索.
- 一个由皮肤科医生组成的专家小组审查了已识别的研究文章.
- 共识声明是使用修改后的Delphi流程与SORT标准开发的.
主要成果:
- 从544个初始搜索结果中选择了17篇相关文章.
- 专家小组在10个共识声明上达成一致协议.
- 根据证据,建议被赋予A,B或C强度.
结论:
- 口服抗生素适用于中度至重度的AV,并与局部治疗相结合.
- 推使用环素,特别是环素,用于AV治疗.
- 沙雷环素在疗效,耐受性和耐药性方面具有优势.
- 口服抗生素的持续时间应该是个性化的;在怀孕和幼儿时避免使用四环素.
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