Monday, May 7, 2012

Are we doing it wrong? The Antibacterial edition


I went to the dermatologist the other day and received a prescription for a topical anti-inflammatory and an antibiotic to treat what was believed to be either adult acne or folliculitis. Rather than trying one medication for 6 weeks and then switch to the other if I saw no results, the doc wanted to give both a try simultaneously.  While reading the warning label for the antibiotic I was alarmed by the following:

If you experience any of the following symptoms, call your doctor immediately:
Changes in your skin or nails that may be signs of infection with a fungus

For the past year that I have been practicing Jiu Jitsu, I have been using antibacterial soaps, thinking it was essential to prevent the exchange of micro-organisms like bacteria and fungus. As it turns out, I may have been doing myself a grave injustice. After searching the National Library of Medicine and reading studies performed at the University College Cork in Ireland on Science Daily, I was pretty convinced.

First I believe I should clarify that there is a difference between antibiotic and antibacterial. Antibacterials kill various forms of bacteria while antibiotics typically inhibit the growth of various micro-organisms, including bacteria and fungi. Antibiotics are administered to treat bacterial infections by making their environment inhospitable, resulting in the eventual demise of the bacteria strand.  Bacteria and fungi have an interesting dichotomy on our bodies. They both tend to be prevalent in warm moist areas of our bodies. In many circumstances, healthy bacteria can prevent the spread of fungus infections by fighting for the same real estate as the yeast. Therefore they are constantly in a population war. The faster bacteria multiply, the slower fungus can grow. Look at the warning label for any antibiotic, like Clindamycin, and it will probably state to discontinue use if you encounter a fungus infection.  It is a safe assumption that if inhibiting the growth of bacteria can cause fungus to thrive, then killing bacteria with an antibacterial soap could make your feet seem like an all inclusive vacation resort for fungus.

Soaps like Defense, that specialize in using natural ingredients like Tee Tree Oil to fight fungus are great but are not typically readily available in your local market. Instead of paying the premium for these specialty soaps online, I usually find myself  trolling forums and seeing recommendations for antibacterial soaps like Dial and Safeguard. I know tons of fellow Jiu Jitsu enthusiasts use these same antibacterial soaps, so I just wanted to make sure that you do the research before buying a soap that may effectively cause the same think you are trying to prevent.