The actual antibiotic prescription and treatment continuation rates in acne therapy were investigated using a health insurance claims database. Of 972,864 patients with an initial diagnosis of acne, 55.1% did not receive a second treatment for acne within 180 days, and 8.9% continued treatment until the maintenance phase. In 2012, 41.5% of patients were prescribed topical antibiotics alone for the initial treatment. The proportion decreased significantly to 35.6% in 2019, but still topical antibiotics alone were most often prescribed. The proportion of patients prescribed oral antibiotics continuously from the acute phase to the maintenance phase was 22.0% in 2012 and 12.6% in 2019. Usage of antibiotics is decreasing, but it is still necessary to promote their appropriate use in the acute phase and discontinuation in the maintenance phase.
To investigate how physicians and patients perceive the impact and treatment of atopic dermatitis (AD), an online survey was conducted; 209 physicians and 716 patients participated. The results revealed that patients did not feel as restricted or mentally troubled by AD in their daily lives as physicians assumed. However, the results showed that patients had a stronger desire to improve their AD symptoms than physicians thought. These results suggest a cognitive gap in AD perception between physicians and patients that needs resolution in order to achieve an AD treatment that reflects patient expectations.