{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:07:06Z","timestamp":1790809626786,"version":"4.1.0"},"reference-count":95,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Glenmark Pharmaceuticals Limited"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Antibiotics"],"abstract":"<jats:p>Background\/Objectives: Acne vulgaris is a prevalent dermatological condition, yet clear, region-specific management guidelines, particularly for India\u2019s diverse population, remain limited. Effective acne management extends beyond pharmacologic therapy, emphasizing proper skincare, patient education, and adherence strategies. This consensus aims to provide tailored, evidence-based recommendations for optimizing acne treatment in the Indian context. Methods: A panel of 14 dermatology experts with \u226515 years of experience reviewed literature, real-world clinical practices, and patient-centric factors relevant to acne management in India. Using a modified Delphi process with two virtual voting rounds, 61 statements across seven clinical domains were evaluated. Consensus was defined as \u226575% agreement. Results: Topical retinoids remain the first-line therapy, with combination regimens (benzoyl peroxide or topical antibiotics) preferred to enhance efficacy and minimize antibiotic resistance. Hormonal therapies, including combined oral contraceptives and spironolactone, are recommended for females with resistant acne. Guidance includes individualized treatment plans, baseline investigations, and selection of appropriate topical and systemic agents. Special considerations for pregnancy and lactation prioritize maternal and fetal safety. Conclusions: This expert consensus provides practical, evidence-based recommendations for acne management in India, integrating pharmacological and non-pharmacological approaches. The tailored guidance supports individualized care, antibiotic stewardship, and improved treatment adherence, aiming to enhance patient outcomes nationwide.<\/jats:p>","DOI":"10.3390\/antibiotics14080844","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T08:40:48Z","timestamp":1755765648000},"page":"844","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["PRACT-India: Practical Recommendations on Acne Care and Medical Treatment in India\u2014A Modified Delphi Consensus"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3194-9721","authenticated-orcid":false,"given":"Nina","family":"Madnani","sequence":"first","affiliation":[{"name":"Department of Dermatology, Sir PD Hinduja Hospital and Medical Research Centre, Mumbai 400016, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3319-2080","authenticated-orcid":false,"given":"Abir","family":"Saraswat","sequence":"additional","affiliation":[{"name":"Indushree Skin Clinic, Lucknow 226016, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7683-6337","authenticated-orcid":false,"given":"Anand","family":"Nott","sequence":"additional","affiliation":[{"name":"Skin Research Centre, Chennai 600090, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5516-8295","authenticated-orcid":false,"given":"Deepak","family":"Jakhar","sequence":"additional","affiliation":[{"name":"Dermosphere Clinic, Delhi 110075, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0264-8241","authenticated-orcid":false,"given":"Lalit Kumar","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Dermatology, RNT Medical College, Udaipur 313004, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malavika","family":"Kohli","sequence":"additional","affiliation":[{"name":"Skin Secrets Clinic, Mumbai 400093, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3129-4344","authenticated-orcid":false,"given":"Manas Ranjan","family":"Puhan","sequence":"additional","affiliation":[{"name":"Niki Skin Care, Bhubaneshwar 751013, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabhakar","family":"Sangolli","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Sri Siddhartha Institute of Medical Sciences, Benagluru 562123, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6400-3217","authenticated-orcid":false,"given":"Rahul","family":"Nagar","sequence":"additional","affiliation":[{"name":"Department of Dermatology & Venereology and Leprosy, Mahatma Gandhi Memorial Medical College, Indore 452001, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3528-9341","authenticated-orcid":false,"given":"Sanjay Kumar","family":"Rathi","sequence":"additional","affiliation":[{"name":"Dr. Rathi\u2019s Skin Clinic, Siliguri 734001, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev","family":"Aurangabadkar","sequence":"additional","affiliation":[{"name":"Aurangabadkar\u2019s Skin & Laser Clinics, Hyderabad 500095, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satish","family":"DA","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Sagar Hospitals, Bengaluru 560041, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5995-3936","authenticated-orcid":false,"given":"Seetharam","family":"KA","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology & Leprosy, GSL Medical College, Rajahmundry 533296, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9912-0085","authenticated-orcid":false,"given":"Sunil","family":"Dogra","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology & Leprosy, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh 160012, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2045-9324","authenticated-orcid":false,"given":"Dhiraj","family":"Dhoot","sequence":"additional","affiliation":[{"name":"Department of Global Medical Affairs, Glenmark Pharmaceuticals, Mumbai 400099, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8645-6804","authenticated-orcid":false,"given":"Ashwin","family":"Balasubramanian","sequence":"additional","affiliation":[{"name":"Department of Global Medical Affairs, Glenmark Pharmaceuticals, Mumbai 400099, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6035-681X","authenticated-orcid":false,"given":"Saiprasad","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Global Medical Affairs, Glenmark Pharmaceuticals, Mumbai 400099, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanmant","family":"Barkate","sequence":"additional","affiliation":[{"name":"Department of Global Medical Affairs, Glenmark Pharmaceuticals, Mumbai 400099, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,20]]},"reference":[{"key":"ref_1","first-page":"734","article-title":"Diagnosis and Treatment of Acne","volume":"86","author":"Titus","year":"2012","journal-title":"Am. 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