Postoperative Infection Following Clean Facial Surgery

Sylaidis, Peter; Wood, Simon; Murray, D.S.

doi:10.1097/00000637-199710000-00003

Cited by 53 publications

(41 citation statements)

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“…21 A study of 464 facial surgeries revealed an infection rate of 6.5% and 5% for surgical sites on the nose and ear, respectively, and an elevated risk of infection with skin flaps and grafts and for surgery involving tumors rather than benign diseases. 22 Multiple other studies of surgical site infections in dermatologic surgery exist and many risk factors for surgical site infections have been identified. We have elected to include those indications from the largest studies and those which appear in multiple publications.…”

Section: Surgical Site Infectionmentioning

confidence: 99%

Antibiotic prophylaxis in dermatologic surgery: Advisory statement 2008

Wright¹,

Baddour²,

Berbari³

et al. 2008

Journal of the American Academy of Dermatology

210

173

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Section: Surgical Site Infectionmentioning

confidence: 99%

Antibiotic prophylaxis in dermatologic surgery: Advisory statement 2008

Wright¹,

Baddour²,

Berbari³

et al. 2008

Journal of the American Academy of Dermatology

210

173

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“…[18] Other studies have confirmed higher infection rates below the knee, [27] in the groin, [22] and on the thighs, legs, and feet. [28] Additional body sites identified as at high risk for infection are the nose, [20,29] ear, [20,29] and axilla. [30] A study of 3491 patients with an overall infection rate of 1.9% found higher rates of SSI for surgical closure involving a reconstructive procedure (4.3%).…”

Section: Incidencementioning

confidence: 99%

“…[18,19,29,48] Dixon et al [18] showed an infection rate of 0.54% for simple excisions, 2.94% for flaps, and 8.7% for grafts in 5091 dermatologic surgical procedures. Rogues et al [19] showed an infection rate of 1.6% for simple excisions and 4.3% for reconstructive procedures (90.2% of which were skin flaps) in 3491 surgical skin procedures.…”

Section: Surgical Risk Factorsmentioning

confidence: 99%

“…Another study measuring wound infection in 464 facial skin excisions found that complex surgical procedures had a significantly greater infection rate than simple excisions regardless of the facial site. [29] Given the higher infection rate for more complex skin surgery, simple reconstruction is preferable wherever possible.…”

Section: Surgical Risk Factorsmentioning

confidence: 99%

“…[10,18,20,22,[27][28][29]57] Taking the evidence from these studies into account, we suggest the administration of prophylactic antibacterials for certain anatomical sites and surgical procedures (table III). However, there are no published large, randomized controlled trials measuring the effectiveness of prophylactic oral antibacterials.…”

Section: Oral Antibacterial Prophylaxismentioning

confidence: 99%

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Antibacterial Prophylaxis in Dermatologic Surgery

Rosengren

Dixon

2010

American Journal of Clinical Dermatology

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Clean, non-contaminated skin surgery is associated with low rates of surgical site infection (SSI), bacterial endocarditis, and joint prosthesis infection. Hence, antibacterial prophylaxis, which may be associated with adverse effects, the emergence of multidrug-resistant pathogens, and anaphylaxis, is generally not recommended in dermatologic surgery. Some body sites and surgical reconstructive procedures are associated with higher infection rates, and guidelines for SSI antibacterial prophylaxis have been proposed for these cases. Large prospective, controlled trials are needed to ascertain the role of oral SSI prophylaxis for these surgical sites and procedures especially in patients with diabetes mellitus who are intrinsically at greater risk of SSI. Topical antibacterial ointment and sterile paraffin appear to make no difference to healing or the incidence of SSIs in clean wounds. Although further research is needed, preliminary studies have shown that intraincisional antibacterials, which may be associated with fewer adverse effects and a lower risk of multidrug-resistant bacteria, could potentially be helpful for SSI prophylaxis. Trials using honey- and silver-impregnated dressings have found no advantage in the healing of chronic wounds. However, several case studies, which need corroboration in larger studies, suggest that these dressings may be helpful in preventing and treating SSIs. Bacterial endocarditis and joint prosthesis infection prophylaxis are not routinely recommended in cutaneous surgery. The updated 2007 American Heart Association guidelines now advocate bacterial endocarditis prophylaxis for high-risk cardiac patients having surgery involving the oral mucosa or infected skin. The latest American Dental Association/American Academy of Orthopaedic Surgery guidelines recommend considering antibacterial prophylaxis for oral procedures where bleeding is anticipated and for surgery involving acute orofacial skin infections if the patient has had a total joint replacement within 2 years or is in a high-risk group and has had a joint replacement at any time.

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Local and Regional Flaps

Herford

Ghali

2022

Peterson’s Principles of Oral and Maxillofacial Surgery

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Postoperative Infection Following Clean Facial Surgery

Cited by 53 publications

References 0 publications

Antibiotic prophylaxis in dermatologic surgery: Advisory statement 2008

Antibiotic prophylaxis in dermatologic surgery: Advisory statement 2008

Antibacterial Prophylaxis in Dermatologic Surgery

Local and Regional Flaps

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