Abstract | PURPOSE: To report a recent outbreak of atypical mycobacterial infection following upper eyelid surgery and the results of a prevention protocol that was successfully instituted to dramatically reduce the infection rate. METHODS: This is a multicenter retrospective nonrandomized comparative interventional case series. A chart review of 7 patients who developed atypical mycobacterium infection after undergoing blepharoplasty was conducted. Preventative intervention included exchanging ice compresses for reusable gel packs and substituting tap water with bottled or distilled water for facial cleaning during postoperative care. The main outcome measure was disease incidence. RESULTS: Of the 368 patients who underwent upper eyelid blepharoplasty and/or blepharoptosis repair from December 2014 to May 2015, 7 people developed cutaneous atypical mycobacterium infection with an incidence of 1.9%. Eighty-six percent of patients received clarithromycin as part of their treatment with average treatment length of 2.8 months. Debridement was performed in 71% of the patients. Biopsy was performed in all patients, and all had histopathology showing granulomatous inflammation. A prevention protocol was developed to reduce potential inoculation in the immediate postoperative period, which successfully reduced the infection rate from 1.9% to 0.06% (p = 0.019). CONCLUSIONS:
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Authors | Senmiao Zhan, Amber Hoang, George K Escaravage Jr, Alan E Oester Jr |
Journal | Ophthalmic plastic and reconstructive surgery
(Ophthalmic Plast Reconstr Surg)
2019 May/Jun
Vol. 35
Issue 3
Pg. 235-237
ISSN: 1537-2677 [Electronic] United States |
PMID | 30124611
(Publication Type: Comparative Study, Journal Article, Multicenter Study)
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Topics |
- Aged
- Blepharoplasty
(adverse effects)
- Blepharoptosis
(surgery)
- Eye Infections, Bacterial
(prevention & control)
- Female
- Follow-Up Studies
- Humans
- Male
- Mycobacterium Infections, Nontuberculous
(prevention & control)
- Retrospective Studies
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