Fewer antibiotics, more attention to scars: what the acne guideline says

Dermatologists do not treat acne based on instinct alone; they follow guidance from their professional association. The latest major revision sharpened two things: more restraint with antibiotics, and preventing scars as a full treatment goal. Here is what those two points mean for you.

Written by the 247dermatologist editorial team, medically reviewed by Dr A.M. van Coevorden, dermatologist

Reviewed on 30 July 2026About 3 minutes to read

BIG

Why fewer antibiotics

Antibiotics work for acne, but the more they are used, the greater the chance that bacteria become insensitive to them. The guidance is clear: use antibiotics for acne only when needed, always combine them with a topical treatment and use them for a limited period. Months of tablets or creams without a clear plan do not align with this guidance.

Preventing scars as a treatment goal

The guideline puts more emphasis on preventing permanent damage. Not intervening only when acne is severe, but treating in time and sufficiently when acne is inflamed or starting to leave traces. That is exactly why early assessment pays off.

Treating in steps

The guideline uses a stepwise approach: first topical treatments such as benzoyl peroxide and retinoids, followed by stronger prescription treatments if these are not enough. Which treatment is suitable for you? This depends on the type of acne, the severity and the risk of scarring. That is tailor-made, not a standard list.

What this means for your consultation

Our dermatologists work according to this guideline. Your treatment plan explains which step is logical for you and why, what to expect and when adjustments are made. So you know your treatment matches what the profession agrees on.

What does the new European guideline say?

Since 2025 there has also been an updated European guideline for the treatment of acne. On most points it is in line with the Dutch guideline from 2022. A few points are new or more pronounced:

Antibiotic tablets are used for as short a time as possible, and always together with a treatment applied to the skin. This helps prevent bacteria from becoming resistant to antibiotics.

For adult women with acne, the European guideline mentions an additional treatment option in tablet form.

Your dermatologist weighs up for each person which treatment suits them, based on both guidelines.

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Want a treatment plan that follows the guideline and fits your skin? You will have it within 12 to 48 hours.

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Frequently asked questions

Can I use antibiotics for acne long term?

The guideline advises against it: antibiotics for acne are meant as a temporary step, combined with a product for the skin. If you have been using them longer, discuss it with your doctor; do not just stop on your own.

Do your dermatologists follow this guideline?

Yes. Every treatment plan is drawn up by a BIG-registered dermatologist according to the Dutch guideline.

My current treatment differs from what is written here. Is that wrong?

Not necessarily; a guideline is a guide and a doctor may deviate from it with good reason. If in doubt, have it looked at.

Sources

NVDV Acne Vulgaris guideline (2022 revision)
NHG Practice Guideline Acne

Last revised on 30 July 2026

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