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Prevention and Treatment of Procedure-Associated Infection

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Evidence-Based Procedural Dermatology

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Abstract

Procedure-associated and surgical site infections (SSI) in dermatology are rare; however, it is prudent to understand their prevention and treatment. SSI has been variably defined, which may contribute to the broad range of results from studies aimed at quantifying the risk of SSI. The Centers for Disease Control and Prevention (CDC) defines an SSI as a wound that suppurates within 30 days of the procedure, even in the absence of a positive culture (Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. Am J Infect Control 20(5):271–4, 1992). The application of this definition is particularly challenging for dermatologic procedures since wounds may become colonized with organisms, such as Staphylococcus aureus (S. aureus), and suture granulomas may present with a sterile suppurative exudate within 30 days of the procedure. In this situation, good clinical judgment and the quantity of bacteria (>105) (Robson MC, Heggers JP. J Surg Oncol 2(4):379–83, 1970) in the wound can be helpful in differentiating colonization versus a true SSI.

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Authors and Affiliations

  1. Department of Dermatology, Mayo Clinic, Rochester, MN, USA

    James V. Twede & Christian L. Baum

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  1. James V. Twede
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  2. Christian L. Baum
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Correspondence to Christian L. Baum .

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  1. Department of Dermatology, Northwestern University, Chicago, IL, USA

    Murad Alam

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Twede, J.V., Baum, C.L. (2019). Prevention and Treatment of Procedure-Associated Infection. In: Alam, M. (eds) Evidence-Based Procedural Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-02023-1_63

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  • DOI: https://doi.org/10.1007/978-3-030-02023-1_63

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