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Factors in the estimated response of acne vulgaris to antibiotics

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Summary

The data of a double-blind cooperative trial of thiamphenicol (TP), tetracycline (TE) and placebo (PL) in a two-week oral treatment of acne vulgaris were subjected to a study of the observers' attitudes. The study provided no evidence that the “PL-optimistic” doctors judged either antibiotic more favorably than the “PL-pessimistic”. A technique for analyzing factorial experiments when the data are frequencies m unbalanced groups was used in a computerized form to evaluate the effects of the oral treatments as well as the interactions with the factors “Sex”, “Severity” and “Topical treatment”. The advantage of TP (63% satisfactory responses) over PL (34%) was proved beyond doubt, irrespective of any factors studied; the addition of a topical treatment is a useful cofactor only in the severe forms in female patients. The advantage of TE (50% overall satisfactory responses) over PL was detected in female patients only. This finding, as well as the potent action of TP, are discussed in view of the acne ameliorating mechanism/s of these antibiotics.

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References

  1. Ashurst, P. J.: Tetracycline in acne vulgaris. Practitioner 200, 539–541 (1968).

    Google Scholar 

  2. Azzollini, F., Gazzaniga, A., Lodola, E.: Eliminazione del tiamfe nicolo in pazienti con insufficienza renale. Communication to the 3rd Congress of the Sec. Scienze Farm. Applicate, Venice, March (1969).

    Google Scholar 

  3. Crounse, R. G.: The response of acne to placebos and antibiotics. J. A. M. A. 193, 906–910 (1965).

    Google Scholar 

  4. Cunliffe, W.J., Shuster, S.: Pathogenesis of acne. Lancet 1969 I, 685–687.

    Google Scholar 

  5. Della Bella, D., Ferrari, V., Marca, G., Bonanomi, L.: Chloramphenicol metabolism in the phenobarbitalinduced rat. Comparison with thiamphenicol. Biochem. Pharm. 17, 2381–2390 (1968).

    Google Scholar 

  6. Dyke, G. V., Patterson, H. D.: Analysis of factorial arrangements when the data are proportions. Biometrics 8, 1–12 (1952).

    Google Scholar 

  7. Freinkel, R. K.: Pathogenesis of Acne Vulgaris. New Engl. J. Med. 280, 1161–1163 (1969).

    Google Scholar 

  8. Frei, E.: Effect of cancer chemotherapeutic agents on normal tissues in man. Fed. Proc. 26, 918–922 (1967).

    Google Scholar 

  9. Frigerio, G., Mazzoni, P., Ferrari, V.: Una ricerca cooperativa sul trattamento antibiotico dell'acne: resoconto. Min. Med. 60, 3379–3398 (1969).

    Google Scholar 

  10. Fry, L., Ramsay, C. A.: Tetracycline in acne vulgaris. Brit. J. Derm. 78, 653–660 (1966).

    Google Scholar 

  11. Ganpule, M.: Clomocycline and oxytetracycline in acne vulgaris. Practitioner 201, 479–482 (1968).

    Google Scholar 

  12. Hicks, J.H.: Demethylchlortetracycline: a double-blind study in the treatment of acne with attention to side-effects noted. Sth. med. J. 55, 357–360 (1962).

    Google Scholar 

  13. Lane, P., Williamson, D. M. : Treatment of acne vulgaris with tetracycline hydrochloride: a double-blind trial with 51 patients. Brit. med. J. 1969 I, 76–79.

    Google Scholar 

  14. Marubini, E.: Analisi di un esperimento fattoriale di vaccinazione con dati qualitativi. G. Microbiol. 13, 81–98 (1965).

    Google Scholar 

  15. Marca, G.: Personal communication (1968).

  16. Maxwell, A. E.: Analysing Qualitative Data, p. 85. London: Methuen and Co. 1961.

    Google Scholar 

  17. McChesney, E.W., Koss, R.F., Shekosky, J.M., Deitz, W.H.: Metabolism of dextrosulphenidol in several species. J. Amer. pharm. Ass. 49, 762–766 (1960).

    Google Scholar 

  18. Rashleigh, P. L., Rife, E., Goltz, R. W.: Tetracycline levels in skin surface film after oral administration of tetracycline to normal adults and to patients with acne vulgaris. J. invest. Dorm. 49, 611–615 (1967).

    Google Scholar 

  19. Rosenberg, E. W.: Bacteriology of acne. Ann. Rev. Med. 20, 201–206 (1969).

    Google Scholar 

  20. Rubin, D., Weisberger, A. S., Clark, D. R.: Early detection of drug induced erythropoietic depression. J. Lab. clip. Med. 56, 453–462 (1960).

    Google Scholar 

  21. Savin, R. C., Turner, M. C.: Antibiotics and placebo reaction in acne. J. A. M. A. 196, 153–155 (1966).

    Google Scholar 

  22. Stewart, W.M.D., Maddin, S., Nelson, A. J., Danto, J. L.: Therapeutic agents in acne vulgaris - I. Tetracycline. Canad. med. Ass. J. 89, 1096–1097 (1963).

    Google Scholar 

  23. Siegel, S.: Nonparametric Statistic for the Behavioral Sciences. New York: McGraw-Hill, 1956.

    Google Scholar 

  24. Smith, M. A., Waterworth, P. M., Curwen, M. P.: A controlled trial of oral antibiotics in the treatment of acne vulgaris. Brit. J. Derm. 74, 86–90 (1962).

    Google Scholar 

  25. Smith, E. L., Mortimer, P. R.: Tetracycline in acne vulgaris. Brit. J. Derm. 79, 78–84 (1967).

    Google Scholar 

  26. Snedecor, G. W., Cochran, W. G.: Statistical Methods. Iowa: The Iowa State University Press 1968.

    Google Scholar 

  27. Thiamphenicol: experimental and clinical basis of a new antibiotic. Milan: Zambon Research Laboratories 1967.

    Google Scholar 

  28. Van Hove, W.: Resultats et effets secondaires du thiamphénicol. T. soc. Geneesk. 8, 390–395 (1969).:

    Google Scholar 

  29. Wansker, B. A.: Antibiotics and pustulocystic acne. A long-term, double-blind evaluation. Arch. Derm. 84, 146–148 (1961).

    Google Scholar 

  30. Weisberger, A. S., Wolfe, S.: Effect of chloramphenicol on protein synthesis. Fed. Proe. 23, 976–983 (1964).

    Google Scholar 

  31. Witkowski, J. A., Simons, H. M.: Objective evaluation of demethyl-chlortetracycline hydrochloride in the treatment of acne. J.A.M.A. 196, 397–400 (1966).

    Google Scholar 

  32. Zelkowitz, L., Arimura, G. K., Yunis, A. A.: Chloramphenicol and protein synthesis in mammalian cells. J. Lab. clin. Med. 71, 596–609 (1968).

    Google Scholar 

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Frigerio, G., Ferrari, V. Factors in the estimated response of acne vulgaris to antibiotics. Pharmacol. Clin. 2, 113–119 (1970). https://doi.org/10.1007/BF00420717

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