{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:38:06Z","timestamp":1792683486554,"version":"4.5.0"},"reference-count":0,"publisher":"The Scientific and Technological Research Council of Turkey (TUBITAK-ULAKBIM) - DIGITAL COMMONS JOURNALS","issue":"4","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turkish Journal of Medical Sciences"],"abstract":"<jats:p>Background\/aim: Acne vulgaris, affecting over 85% of adolescents, is the most prevalent chronic inflammatory skin disorder. Its management is severity-based, with specific drug selections and combinations according to guidelines. However, adherence to these guidelines and the adequacy of patient counseling remain uncertain in real-world practice. The aim in this study was to evaluate prescribing patterns in acne management, assess compliance with guidelines, and promote awareness among healthcare professionals.\nMaterials and methods: A prospective observational study was conducted in the dermatology outpatient clinic of a tertiary hospital in T\u00fcrkiye between February and May 2025. Demographic and clinical data were collected, and acne severity was graded according to the T\u00fcrkiye Dermatology Association (TDA) criteria. Prescriptions were evaluated for guideline concordance with American Dermatology Association (ADA) 2016\/2024, National Institute for Health and Care Excellence (NICE) 2021, and TDA 2018. Potential drug\u2013drug interactions and the adequacy of clinical teaching for acne medication were also assessed through a multidisciplinary evaluation. Statistical analyses were performed using descriptive methods, the Kruskal\u2013Wallis test, Pearson\u2019s chi-squared test, and Fisher\u2019s exact test, as appropriate.\nResults: Oral isotretinoin, topical retinoids, and topical antibiotics were the most frequently prescribed agents. While isotretinoin use was largely appropriate, deviations from guideline recommendations, particularly oral antibiotic monotherapy, were observed. Some drug\u2013drug interactions and limitations in structured patient counseling were also identified. Among the clinical guidelines, adherence was highest to the ADA guidelines, followed by the TDA guidelines. Moreover, the severity of the disease appeared to influence which guideline was followed.\nConclusion: Although treatment largely followed severity-based recommendations, gaps in guideline adherence and patient education highlight the need for improved prescribing practices and interprofessional collaboration in acne management.<\/jats:p>","DOI":"10.55730\/1300-0144.6355","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:26:30Z","timestamp":1787066790000},"page":"1113-1123","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of acne vulgaris patient care in outpatient clinics: guideline adherence and patient education \u200b"],"prefix":"10.55730","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9745-4196","authenticated-orcid":true,"given":"MEFK\u00dcRE","family":"DURMU\u015e","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0510-7714","authenticated-orcid":true,"given":"BET\u00dcL SENA","family":"\u00c7AVDAR","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2733-2534","authenticated-orcid":true,"given":"\u0130BRAH\u0130M ETEM","family":"ARICA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8701-3802","authenticated-orcid":true,"given":"SENA","family":"USTA\u00d6MER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0818-2665","authenticated-orcid":true,"given":"SENA","family":"G\u00dcZEL KARAHAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9390-1569","authenticated-orcid":true,"given":"SE\u00c7\u0130L","family":"\u00c7OLAK","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6212-9007","authenticated-orcid":true,"given":"SELCEN","family":"\u015eENOL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"34691","published-online":{"date-parts":[[2026,8,13]]},"container-title":["Turkish Journal of Medical Sciences"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T14:42:04Z","timestamp":1792680124000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.tubitak.gov.tr\/medical\/vol56\/iss4\/21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,13]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,8,13]]}},"URL":"https:\/\/doi.org\/10.55730\/1300-0144.6355","relation":{},"ISSN":["1300-0144"],"issn-type":[{"value":"1300-0144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,13]]}}}