Transcript Resources_files/Implementing the Acne Care Pathway

Dr Art O’Hagan, Consultant
Dermatologist
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Skin disease is most prevalent disease in under
16s (1 in 5 babies have eczema) and the second
most common disease in adults
Each year 24% of the population present to
their GP with a skin problem.
Skin cancer is the most common form of cancer
in the UK and malignant melanoma incidence
rates in Britain have more than quadrupled
since the 1970s.
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Locally agreed clinical care pathways are essential to
support equity of access to care, best clinical practice
and optimum care outcomes. Agreed care pathways
facilitate seamless care for people accessing services.
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Severe acne / acne fulminans triaged to Urgent
consultant clinic
Other cases generally triaged to Nurse led acne
clinic (seen by experienced dermatology
nurses) and other treatments recommended or
counselled and worked up for Isotretinoin
Seen at consultant clinic and isotretinoin
initiated
Nurse specialist clinic should be established
soon
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45% patients discharged from acne clinic
25% required Roaccutane immediately and
referred to dermatology consultant
30% given treatment advice and review at
nurse led clinic
Benzoyl
Peroxide
Azelaic Acid
Antibacterials
Topical
Retinoids
Combinations
Other agents
Acnecide® gel
£5.44 / 30g
Finacea®
Dalacin T®
£ 5.08 / 30mls
Differin® Gel
£11.40 / 45g
Epiduo® gel
Brasivol®
(aluminium oxide
brevoxyl®
cream
£3.30 / 40g
Skinoren®
Zindaclin®
£8.66 / 30g
Isotrex® gel
£5.94 / 30g
Isotrexin® gel
Panoxyl® gel/
cream £1.89/
40g / lotion/
aquagel
(adapalene 0.1%,
benzoyl peroxide
2.5%) £ 17.91/ 45g
(isotretinoin 0.05%,
erythromycin 2%)
38.09% in fine
particles)
Actinac® paste
£7.49 / 30g
Zineryt®
£7.71 / 30mls
Stiemycin®
£7.69 / 50mls
Retin A®
cream£5.94 /
30g
Aknemycin®
gel (tretinoin
Nicam® gel
Duac® gel
Acnisal® lotion
0.025%, erythromycin
4%) £7.05 / 30g
(benzoyl peroxide
5%, clindamycin 1%)
£9.95 / 25g
Quinoderm®
(BPO 5%-10%
potassium
hydroxyquinoline
sulphate 0.5% )
£1.30 / 25g
Tetracyclines
Alternative
cyclines
Macrolides
Other
Antibiotics
Tetracycline
doxycycline
Erythromycin
Trimethoprim
Oxytetracycline
Lymecycline
Minocycline
www.carepathways4gp.org.uk