Surgical Site Infection After Skin Excisions in Children: Is Field Sterility Sufficient?

Pediatric Dermatology
Laura C NuzziBrian I Labow

Abstract

Skin excisions are common procedures in children. They may be performed in the clinic using field sterility or the operating room with strict sterile technique. We compared the effect of these locations and the use of antibiotics on the incidence of surgical site infection (SSI) after skin excisions. Patients ages 0-18 years presenting to our department for the excision of lesions from 2006 to 2010 with complete medical records were included in our study. Records were reviewed for demographic characteristics, presentation, perioperative conditions, and postoperative SSI and other wound complications. Analyses were performed to estimate the costs associated with sterility technique and perioperative antibiotic use. We identified 700 patients with a mean age of 9.1 years. Of 872 lesions excised, 0.3% resulted in SSI and 1.8% had other wound complications. The incidence of SSI did not vary according to sterility technique, antibiotic usage, surgeon, age, or lesion size, type, or location. The equipment costs to excise a lesion in the operating room were 200% greater than in the clinic. The incidence of SSI after excision of benign lesions in children did not differ between those performed using clinic field sterility and those usi...Continue Reading

References

Aug 13, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Nadine ShehabDaniel S Budnitz
Feb 23, 2011·Archives of Surgery·Gifty KwakyeMartin A Makary
Aug 9, 2011·Journal of the American Academy of Dermatology·Michelle M LevenderSteven R Feldman
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Citations

Mar 24, 2016·Pediatric Dermatology·Valerie B Lyon
Jun 3, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Annie E MorocoMeghan N Wilson
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Janelle YuDonald H Lalonde

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