Why isn't my cat's chin acne clearing up after vet treatment?

Question

Hi! My cats acne never seems to resolve. He was prescribed with clindamycin for 5 days which didn’t show much difference and cephaxelin for next 5 days and regular wash with chlorhexidine. As you can see in the progress pictures it looks the same. The black part on the side never seems to clear even after washing. Acne bursts have reduced but there is redness after wash. Does it usually take this long? Will the secretions ever stop? Pet's info: Cat | Mixed Breed | Male | neutered | 1 year and 9 months old | 10 lbs

Kevin Sanada, DVM · Accepted Answer

Feline acne is a difficult problem to treat and does tend to take a long time to get rid of. If the antibiotics didn't help, then they were either not the right antibiotics for the infection, or were not given long enough. However, I usually don't prescribe antibiotics and only prescribe the chlorhexidine wash for this condition; because it is usually a mix of yeast and bacteria that cause this. The chlorhexidine will kill all of these. There are a couple of things that you should do for successful treatment: 1) Wash gently for at-least five minutes twice a day. If you scrub too hard, then you will damage the skin and delay healing. 2) dry the area completely after washing. Moisture is favorable for bacteria and yeast growth. A dry environment will limit their growth. This will take at- least a month of dedicated treatment before it clears. The better you are able to keep up with the treatment, the quicker it will heal. I hope that helps and Toby gets better soon.

Why isn't my cat's chin acne clearing up after vet treatment?

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