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Choice of topical antibiotic—a microbiological view point

Two areas of concern will be discussed in this paper: (a) choice of an appropriate antibiotic for a particular infective process; (b) a consideration ofthe appropriateness of any antibiotic therapy in some skin conditions. In discussing both these aspects, the attitude adopted is that concern is felt for the effect of antibiotics on the group not on the individual. In considering the therapy of the individual patient it is recognized that factors other than that of the microbiologically most appropriate antibiotic may prevail. The clinical rationale for topical use of any antibiotic has been well reviewed by Leyden & Kligman (1978).