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3)Mild, some noninflammatory lesions, a maximum of a few papules/pustules but no nodules, topical retinoid like tretinoin, or adapalene provides the best results which is given or benzoyl peroxide. Patients are warned of the side effects which may include contact dermatitis and drying of skin understanding that results might take a few weeks to show any changes. To avoid bacterial resistance I reserve antibiotics for moderate cases.

The treatment for GBS is antibiotics in the event the membranes rupture or labor starts, no matter which comes first. The first choices penicillin, but ampicillin, a closely related drug, may also be used. Women with mild allergies to penicillin usually can receive a drug called cefazolin (also referred to as Ancef). Options for women with a serious penicillin allergy include clindamycin and erythromycin; however, these drugs don't always work so the lab needs to perform special testing to see if these antibiotics can kill the strain of GBS which is present (this is whats called susceptibility testing). Penicillin, ampicillin, and cefazolin always work against GBS so testing isn't necessary. If a woman includes a penicillin allergy and her strain of GBS is proof against clindamycin and erythromycin an incredibly high-power antibiotic called vancomycin is needed.

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