Incidence of postoperative infection or positive culture after facial laser resurfacing: a pilot study, a case report, and a proposal for a rational approach to antibiotic prophylaxis
| Autor: | Cdr E. Victor Ross, Lynn Proctor-Shipman, Eric C. Amesbury, Bruce D. Feldman, Anthony Barile |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
medicine.medical_specialty
Staphylococcus aureus Facial rejuvenation medicine.drug_class Antibiotics Pilot Projects Dermatology medicine.disease_cause Internal medicine medicine Humans Surgical Wound Infection Antibiotic prophylaxis Aged business.industry Incidence (epidemiology) Incidence Antibiotic Prophylaxis Staphylococcal Infections Antibiotic coverage Surgery Superinfection Practice Guidelines as Topic Rhytidoplasty Positive culture Female Laser Therapy Complication business |
| Zdroj: | Journal of the American Academy of Dermatology. 39(6) |
| ISSN: | 0190-9622 |
| Popis: | Background: Laser skin resurfacing (LSR) has emerged as a popular procedure for facial rejuvenation; however, there are no clear guidelines regarding systemic antibiotic prophylaxis. Objective: We attempt to provide practical guidelines for antibiotic prophylaxis in LSR based on our experiences, pharmacology, and a review of the literature. Methods: In a pilot study, four consecutive full-face LSR patients were treated without oral or topical antibiotics. The next four patients received oral prophylaxis with a narrow spectrum antibiotic. We also report the case of a severe gram-negative infection after LSR. Results: For full-face LSR, 2 of 4 consecutive patients without antibiotic prophylaxis experienced focal Staphylococcus aureus infection. The next 4 consecutive patients, who had received gram-positive oral prophylaxis, were all culture negative after 2 days. All test sites (5 of 5) were culture negative despite the absence of systemic or topical antibiotics. One patient not in the pilot study receiving gram-positive antibiotic prophylaxis experienced a gram-negative infection. Conclusion: We recommend narrow-spectrum gram-positive oral antibiotic coverage for full-face and regional LSR. (J Am Acad Dermatol 1998;39:975-81.) |
| Databáze: | OpenAIRE |
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