Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study

Chen Fleischmann; Lior Cohen; Elimelech Adams; Michael Hartal

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Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study

RESEARCH | Updated：2026-03-12

- Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study
- Military Medical Research Vol. 3, Issue 1, Pages: 15-21(2016)
- Affiliations：
  
  1.Israel Defense Forces Medical Corps, IDF, P.O. Box 02149, Te Hashomer, Israel
  2.Department of Military Medicine, Faculty of Medicine, Hebrew University, Jerusalem, Israel
- Author bio：
  
  *: pharmerster@gmail.com
- Funds：
- DOI：
  CLC：
- Published：2016-03
- Accepted：
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Chen Fleischmann, Lior Cohen, Elimelech Adams, et al. Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study[J]. Military Medical Research, 2016, 3(1): 15-21.
DOI：

Chen Fleischmann, Lior Cohen, Elimelech Adams, et al. Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study[J]. Military Medical Research, 2016, 3(1): 15-21. DOI：

摘要

Abstract

Background:

Acne vulgaris

a common skin disease

affects up to 80% of the population. Moderate to severe acne requires treatment with a combination of topical and oral drugs such as antibiotics

hormones and retinoids. Retinoids have many contraindications and adverse effects requiring close monitoring. The study’s objectives were to describe prescribing trends in acne medication over time in a military setting

and assess physician adherence to guidelines for acne treatment

including drug precautions

clinical monitoring

and treatment progression.

Methods:

We conducted a descriptive

serial cross-sectional study of acne drugs prescribed in the Israel Defense Forces (IDF) in the years 2002–2007

analyzing the classes of drugs prescribed and patient characteristics. In addition

the clinical quality of the medical encounter was assessed by examining physician adherence to IDF guidelines.

Results:

Between 2002 and 2007

281 patients were treated for acne. Treatment courses generally persisted for 1–2 months. Over 70% of female patients receiving oral retinoids were not concomitantly receiving oral contraceptives.

Conclusions:

This study provides a unique perspective of acne treatment in a military setting

overall displaying good adherence to general guidelines. The common prescription of oral retinoids to young females without concomitant contraception is alarming.

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Keywords

references

Purdy S , de Berker D . Acne. Br Med J . 2006 ; 333 : 949 - 53 .

Beers MH , Fletcher AJ , Jones TV , Porter R , Berkwits M , Kaplan JL . The merck manual of medical information - home edition . New Jersey : Merck Research Laboratories ; 2003 .

Cordain L . Implications for the role of diet in acne . Semin Cutan Med Surg . 2005 ; 24 : 84 - 91 .

Niemeier V , Kupfer J , Gieler U . Acne vulgaris – psychosomatic aspects . J Dtsch Dermatol Ges . 2006 ; 4 : 1027 - 36 .

Strauss JS , Krowchuk DR , Leyden JJ , Lucky AW , Shalita AR , Siegfried EC , et al . Guidelines of care for acne vulgaris management . J Am Acad Dermatol . 2007 ; 56 : 651 - 63 .

Layton AM , Seukeran D , Cunliffe WJ . Scarred for life? Dermatology . 1997 ; 195 : 15 - 21 .

Thiboutot DM . Acne and rosacea - New and emerging therapies . Dermatol Clin . 2000 ; 18 : 63 - 71 .

Rzany B , Kahl C . Epidemiology of acne vulgaris . J Dtsch Dermatol Ges . 2006 ; 4 : 8 - 9 .

Purdy S , Langston J , Tait L . Presentation and management of acne in primary care: a retrospective cohort study . Br J Gen Pract . 2003 ; 53 : 525 - 9 .

Cunliffe WJ . Acne-vulgaris: pathogenesis and treatment . Br Med J . 1980 ; 280 : 1394 - 6 .

Albuquerque RG , Rocha MA , Bagatin E , Tufik S , Andersen ML . Could adult female acne be associated with modern life? Arch Dermatol Res . 2014 ; 306 : 683 - 8 .

Simonart T , Dramaix M . Treatment of acne with topical antibiotics: lessons from clinical studies . Br J Dermatol . 2005 ; 153 : 395 - 403 .

Alirezai M , George SA , Coutts I , Roseeuw DI , Hachem JP , Kerrouche N , et al . Daily treatment with adapalene gel 0.1% maintains initial improvement of acne vulgaris previously treated with oral lymecycline . Eur J Dermatol . 2007 ; 17 : 45 - 51 .

Huber J , Walch K . Treating acne with oral contraceptives: use of lower doses . Contraception . 2006 ; 73 : 23 - 9 .

Haider A , Shaw JC . Treatment of acne vulgaris . JAMA . 2004 ; 292 : 726 - 35 .

Thielitz A , Krautheim A , Gollnick H . Update in retinoid therapy of acne . Dermatol Ther . 2006 ; 19 : 272 - 9 .

Ortonne JP . Oral isotretinoin treatment policy - Do we all agree? Dermatology . 1997 ; 195 : 34 - 7 .

Marqueling AL , Zane LT . Depression and suicidal behavior in acne patients treated with isotretinoin: a systematic review . Semin Cutan Med Surg . 2005 ; 24 : 92 - 102 .

Chong WS . Dermatology in the military field: What physicians should know? World J Clin Cases . 2013 ; 1 : 208 - 11 .

Selvaag E . Skin disease in military personnel . Mil Med . 2000 ; 165 : 193 - 4 .

Bae JM , Ha B , Lee H , Park CK , Kim HJ , Park YM . Prevalence of common skin diseases and their associated factors among military personnel in Korea: a cross-sectional study . J Korean Med Sci . 2012 ; 27 : 1248 - 54 .

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