Surgical site infections in dermatologic surgery: etiology, pathogenesis, and current preventative measures

Dermatol Surg. 2015 May;41(5):537-49. doi: 10.1097/DSS.0000000000000364.

Abstract

Background: Surgical site infections (SSIs) after dermatologic surgery continue to represent undesirable complications that affect patients in several aspects. The etiology and pathogenesis of SSIs are not completely understood, and as a result, current preventative measures are debatable.

Objective: To review and summarize the current available literature specific to SSIs in dermatologic surgery. The pathogenesis of SSIs, factors contributing to SSIs, current preventative guidelines, and evidence supporting their use are explored.

Methods: A review of the medical literature.

Results and conclusions: Most measures used to prevent SSIs in dermatologic surgery are based on studies of wounds in general surgery. Evidence specific to dermatologic surgery is scarce. More research related to the pathogenesis of SSIs is needed to establish effective preventative measures that are key to reducing incidences of SSIs.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Bacteremia / prevention & control
  • Dermatologic Surgical Procedures* / adverse effects
  • Endocarditis / prevention & control
  • Evidence-Based Medicine
  • Guidelines as Topic
  • Humans
  • Primary Prevention / methods*
  • Risk Factors
  • Surgical Wound Infection / epidemiology
  • Surgical Wound Infection / etiology
  • Surgical Wound Infection / prevention & control*