Effects of topical clindamycin on intestinal microflora in patients with acne.

Abstract:

:Thirty-two patients with acne completed a randomized, double-blind study using topical 1% clindamycin phosphate or its vehicle applied twice daily for 8 weeks for a study of its effects on the intestinal microflora. Two clindamycin patients and one vehicle patient had Clostridium difficile in stools prior to therapy. Of the remaining twenty-nine patients, four of nineteen patients who used clindamycin and none of ten patients who used vehicle had C. difficile detected during treatment; the difference was not statistically significant. There was no diarrhea in the clindamycin group, even though clostridial cytotoxin was found transiently in two patients. Self-limited diarrhea occurred in one vehicle-treated patient, whose stool culture was negative but whose stool specimen showed a positive reaction for C. difficile cytotoxin. With the use of a bioassay, clindamycin was not detected in urine or stool of any patient. No significant changes in Bacteroides fragilis counts in stools were observed in either group.

journal_name

J Am Acad Dermatol

authors

Siegle RJ,Fekety R,Sarbone PD,Finch RN,Deery HG,Voorhees JJ

doi

10.1016/s0190-9622(86)70153-9

subject

Has Abstract

pub_date

1986-08-01 00:00:00

pages

180-5

issue

2 Pt 1

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(86)70153-9

journal_volume

15

pub_type

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