Antibiotics For Your Skin

When you need them—and when you don’t

Sometimes rashes and surgical wounds become infected with bacteria. Doctors treat these infections with antibiotics, which are medicines that can kill bacteria.

However, doctors may prescribe antibiotics even when there is no infection. Most of the time, that’s not useful, and it can do more harm than good. Here’s why:

Antibiotics usually don’t help if your skin is not infected.
Eczema causes dry, itchy, red skin. People with eczema often have high amounts of bacteria on their skin, but that doesn’t mean they have an infection. Even so, some doctors treat eczema with oral antibiotics, in pill or liquid form.

Antibiotics do not help the itching, redness, or severity of eczema. And the skin bacteria usually come back in a month or two.

You can control eczema better with moisturizers and the other steps listed at right. To relieve itching and swelling, ask your doctor about creams or ointments containing a steroid (also called a corticosteroid) or other medicines.

Most surgical wounds don’t need antibiotics.
Some doctors use antibiotic creams or ointments to prevent infection in surgical wounds. However, most surgical wounds have a very low risk of infection. Antibiotics don’t make the risk any lower. In fact, petroleum jelly (Vaseline and generic) is cheaper and less likely to irritate the wound.

Antibiotics have risks.
Oral antibiotics for eczema can have side effects, including upset stomach, vomiting, diarrhea, and vaginal yeast infections. They can also cause allergic reactions such as rashes, swelling, itching, and trouble breathing.

Antibiotic creams and ointments can actually slow down the healing of wounds. And they can cause redness, swelling, blistering, draining, and itching.

Using antibiotics when you don’t need them helps drug-resistant bacteria grow. These bacteria are harder to kill. They can cause illnesses that are harder to cure and more costly to treat. This increases the risk of complications and side effects. The resistant bacteria can also be passed on to others.

Antibiotics can be a waste of money.

  • An oral antibiotic for eczema can cost from $8 to over $200.
  • Antibiotics for surgical wounds can range from about $5 for a small tube of over-the-counter ointment to more than $150 for a prescription cream.
  • In addition, antibiotics can lead to side effects and resistant infections. These can result in extra doctor visits, emergency care and more costly medical care.

When do you need antibiotics?
Antibiotics should be prescribed for eczema when there are signs of a bacterial infection, such as:

  • Pus-filled bumps, or cracks and sores that ooze pus
  • Honey-colored crusting
  • Very red or unusually warm skin
  • Possibly fever

Antibiotics should be prescribed for surgical wounds:

  • When the wound shows signs of a bacterial infection, such as redness, pain, swelling, warmth, pus, oozing, and yellow crusting.
  • Sometimes when a patient has a fever, sweats, or chills.
  • When the wound is in an area of the body that is more likely to get infected (such as the groin).

This report is for you to use when talking with your health-care provider. It is not a substitute for medical advice and treatment.  Use of this report is at your own risk.

© 2014 Consumer Reports. Developed in cooperation with the American Academy of Dermatology. To learn more about the sources used in this report and terms and conditions of use, visit ConsumerHealthChoices.org/about-us/.

01/2014