Infecciones en procedimientos dermatologicos menores

Risk Factors for Infection After Minor Dermatologic Procedures

Dermatologic Surgery

TAKE-HOME MESSAGE

• Infection rates were low at 0.4% in 9031 minor dermatologic procedures including skin biopsies, shaves, conventional excisions, and destructions. The odds of infection were much higher for procedures on the arms and legs compared with the head/neck. Age, gender, or comorbid conditions were not associated with infection risk.

• The incidence of infection after minor dermatologic procedures is low, with procedures on the extremities having the highest odds of infection.

–  Kelly B. Scarberry, MD

Abstract

BACKGROUND

There are limited published data regarding the incidence and risk factors for infection after minor dermatologic procedures, such as skin biopsy, shave, and curettage. Prior studies of infection risk after dermatologic procedures have often not specified the method of preparation of local anesthetic.

OBJECTIVE

To assess the incidence and risk factors for infection after minor procedures performed in a general dermatology clinic using buffered lidocaine prepared in office.

MATERIALS AND METHODS

In this retrospective case-control study, the medical record was searched for cases of infection after skin biopsies, shaves, conventional excisions, and destructions performed in a general dermatology clinic over a 4-year period. Patient and procedure characteristics were compared with uninfected controls.

RESULTS

Of 9,031 procedures performed during the study period, there were 34 infections (0.4%). The odds of infection for procedures on the arm and leg were 5.29 and 9.28 times higher, respectively, than those on the head/neck. There was no significant effect of age, sex, smoking, immunosuppression, diabetes, or anticoagulation.

CONCLUSION

The incidence of infection is low after minor dermatologic procedures performed with local anesthesia using buffered lidocaine prepared in office. There is a higher risk of infection on the arm and leg compared with the head and neck.

Dermatologic Surgery

Risk Factors for Infection After Minor Dermatologic Procedures: A Case-Control Study

Dermatol Surg 2021 Aug 18;[EPub Ahead of Print], S Matos, B Sturm, M Buhnerkempe, R Larson, M Wilson 

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Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 4000-1054
Momentum Escazu: 2101-9574

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