Journal of Clinical and Aesthetic Dermatology

FEB 2017

An evidence-based, peer-reviewed journal for practicing clinicians in the field of dermatology

Issue link: http://jcadonline.epubxp.com/i/793482

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JCAD JOURNAL OF CLINICAL AND AESTHETIC DERMATOLOGY February 2017 • Volume 10 • Number 2 E 5 Introduction Acute skin infections can occur following any procedure where the normal integrity of the skin is breached. Typically, this is following an intradermal injection, such as performance of dermal fillers, botulinum toxin treatments, micro-needling, or sclerotherapy. However, it is also possible with nonpenetrating treatments, such as chemical damage following skin peels or thermal damage caused by laser or intense pulsed light. Incidence Although specific data on infection rates following aesthetic procedures is not readily available, most experts would agree that infections are uncommon 2 following dermal filler treatment. The risk of infection depends on multiple factors relating to the patient, the practitioner, the procedure, the technique, and the amount of skin trauma. Minimizing the Risks (A) Patient. Prior to any treatment, a full medical history should be taken along with relevant examination of the patient. There are contraindications for all procedures, although any condition that impairs immunity is a risk factor for skin infections. Relative contraindications include diabetes mellitus, immunosuppression (acquired or drug-induced), obesity, venous insufficiency, edema or lymphoedema, dental infection or poor oral hygiene, and intravenous drug use. Treatments should not be carried out in an area with a pre-existing infection 5 or if the patient has a systemic infection. Patients should be informed of the risk of infection as part of the consent process and given written aftercare advice on what to look for and what to do if symptoms develop. Management of Acute Skin Infections Emma Davies RN, NIP, and Martyn King, MD JOURNAL OF CLINICAL AND AESTHETIC DERMATOLOGY Aesthetic complications Guidelines Definition For the purpose of these guidelines, an acute skin infection is the invasion and multiplication of microorganisms in body tissues, especially those causing local cellular injury due to competitive metabolism, toxins, intracellular replication, or antigen-antibody response. 1

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