Reappraising Elements of the Aseptic Technique in Dermatology: A Review

Dermatologic procedures are performed under varying degrees of antisepsis, and no clear guidelines exist regarding the role of the aseptic technique in dermatology. This review aims to clarify the terminology surrounding surgical asepsis and examines the importance of various components of the asep...

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Autores principales: Samiya Khan, Terri Shih, Shawn Shih, Amor Khachemoune
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Lenguaje:EN
Publicado: Mattioli1885 2021
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Acceso en línea:https://doaj.org/article/a072a08fe7ac4270b3732a46754d2405
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spelling oai:doaj.org-article:a072a08fe7ac4270b3732a46754d24052021-11-17T08:28:18ZReappraising Elements of the Aseptic Technique in Dermatology: A Review10.5826/dpc.1101a1262160-9381https://doaj.org/article/a072a08fe7ac4270b3732a46754d24052021-01-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/1342https://doaj.org/toc/2160-9381 Dermatologic procedures are performed under varying degrees of antisepsis, and no clear guidelines exist regarding the role of the aseptic technique in dermatology. This review aims to clarify the terminology surrounding surgical asepsis and examines the importance of various components of the aseptic technique in cutaneous surgery. Included are studies examining optimal glove type, surgical instruments, skin antisepsis, and cost-reducing protocols. Our review highlights that most dermatology procedures are not performed under completely sterile conditions due to the lack of environmental and foot traffic controls in dermatology offices. In addition, for some outpatient procedures, such as for minor excisions and Mohs surgery before reconstruction, elements of the clean technique can be used without increasing infection rates. However, data on the feasibility of a clean protocol for Mohs reconstruction is conflicting. Future prospective, randomized trials analyzing various components of the aseptic technique in dermatology are greatly needed so that guidelines can be established for practicing dermatologists. Samiya KhanTerri ShihShawn ShihAmor KhachemouneMattioli1885articleglovessterilizationwound infectionMohs surgeryskin neoplasmsDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 11, Iss 1 (2021)
institution DOAJ
collection DOAJ
language EN
topic gloves
sterilization
wound infection
Mohs surgery
skin neoplasms
Dermatology
RL1-803
spellingShingle gloves
sterilization
wound infection
Mohs surgery
skin neoplasms
Dermatology
RL1-803
Samiya Khan
Terri Shih
Shawn Shih
Amor Khachemoune
Reappraising Elements of the Aseptic Technique in Dermatology: A Review
description Dermatologic procedures are performed under varying degrees of antisepsis, and no clear guidelines exist regarding the role of the aseptic technique in dermatology. This review aims to clarify the terminology surrounding surgical asepsis and examines the importance of various components of the aseptic technique in cutaneous surgery. Included are studies examining optimal glove type, surgical instruments, skin antisepsis, and cost-reducing protocols. Our review highlights that most dermatology procedures are not performed under completely sterile conditions due to the lack of environmental and foot traffic controls in dermatology offices. In addition, for some outpatient procedures, such as for minor excisions and Mohs surgery before reconstruction, elements of the clean technique can be used without increasing infection rates. However, data on the feasibility of a clean protocol for Mohs reconstruction is conflicting. Future prospective, randomized trials analyzing various components of the aseptic technique in dermatology are greatly needed so that guidelines can be established for practicing dermatologists.
format article
author Samiya Khan
Terri Shih
Shawn Shih
Amor Khachemoune
author_facet Samiya Khan
Terri Shih
Shawn Shih
Amor Khachemoune
author_sort Samiya Khan
title Reappraising Elements of the Aseptic Technique in Dermatology: A Review
title_short Reappraising Elements of the Aseptic Technique in Dermatology: A Review
title_full Reappraising Elements of the Aseptic Technique in Dermatology: A Review
title_fullStr Reappraising Elements of the Aseptic Technique in Dermatology: A Review
title_full_unstemmed Reappraising Elements of the Aseptic Technique in Dermatology: A Review
title_sort reappraising elements of the aseptic technique in dermatology: a review
publisher Mattioli1885
publishDate 2021
url https://doaj.org/article/a072a08fe7ac4270b3732a46754d2405
work_keys_str_mv AT samiyakhan reappraisingelementsoftheaseptictechniqueindermatologyareview
AT terrishih reappraisingelementsoftheaseptictechniqueindermatologyareview
AT shawnshih reappraisingelementsoftheaseptictechniqueindermatologyareview
AT amorkhachemoune reappraisingelementsoftheaseptictechniqueindermatologyareview
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