Oral antibiotics are used in the management of moderate- to-severe acne and acne-like disorders, such as rosacea. The tetracyclines are the usual drug of choice; of the tetracyclines, minocycline is considered the gold standard. Both the tetracyclines and the less frequently used erythromycin preparations inhibit the growth of Propionibacterium acnes, which decreases free fatty acid production and pustule formation.
Dirt does not cause acne. Even dirty skin does not cause acne, however it should be said that healthy skin comes from proper hygiene. Even if you rolled in dirt, you are not going to get acne simply by having dirt on your skin. In fact, those who wash their face too often could cause some irritation, which then makes the skin more susceptible to the chance of infection.
• Bacterial infection. When your pore is clogged by the sticky mixtures formed by sebum and dead skin cells, it makes the bacteria to get stuck in your pores too. To survive they feast on the sebum can can cause infections.
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