Skin bacterial flora as a potential risk factor predisposing to late bacterial infection after cross-linked hyaluronic acid gel augmentation

Infection and Drug Resistance
Irina NetsvyetayevaGrazyna Mlynarczyk

Abstract

Cross-linked hyaluronic acid (HA) gel is widely used in esthetic medicine. Late bacterial infection (LBI) is a rare, but severe complication after HA augmentation. The aim of this study was to determine whether patients who underwent the HA injection procedure and developed LBI had qualitatively different bacterial flora on the skin compared to patients who underwent the procedure without any complications. The study group comprised 10 previously healthy women with recently diagnosed, untreated LBI after HA augmentation. The control group comprised 17 healthy women who had a similar amount of HA injected with no complications. To assess the difference between the two groups, their skin flora was cultured from nasal swabs, both before and after antibiotic treatment in the study group. A significant increase in the incidence ofStaphylococcus epidermidiswas detected in the control group (P=0.000) compared to the study group. The study group showed a significantly higher incidence ofStaphylococcus aureus(P=0.005),Klebsiella pneumoniae(P=0.006),Klebsiella oxytoca(P=0.048), andStaphylococcus haemolyticus(P=0.048) compared to the control group. The bacterial flora on the skin differed in patients with LBI from the control group. The c...Continue Reading

Citations

Jun 10, 2021·Clinical, Cosmetic and Investigational Dermatology·Tom DecatesThomas Rustemeyer
Dec 2, 2021·Clinical Microbiology Reviews·Jing YangZhiyong Zong

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ESR
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