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 - 09/09/11
Abstract |
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.)
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Reprint requests: CDR E. V. Ross, MC, USN, c/o Department of Clinical Research, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-5000. |
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16/1/93185 |
Vol 39 - N° 6
P. 975-981 - décembre 1998 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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