Oculoplastic and Reconstructive Surgeon, FaceRestoration and Cambridge University Hospital, Cambridge, UK.
MediZen, Sutton Coldfield, UK.
Dermatol Ther. 2021 Jan;34(1):e14416. doi: 10.1111/dth.14416. Epub 2020 Nov 9.
The rise in popularity and demand for nonsurgical injectable aesthetic procedures is inherently accompanied by an increase in reported complications, particularly those related to infection. Aseptic technique is under the control of aesthetic practitioners and can be modified to minimize the potential for cross-contamination and infection. This should be a key consideration during all clinical procedures, particularly those involving breach of the skin's natural defenses and the use of soft tissue filler. A consensus group of five UK expert aesthetic clinicians were convened to discuss current best practice for aseptic techniques in medical aesthetics. The aim of the consensus group was to recommend a step-by-step procedure to achieve optimal aseptic practice in private clinics, and define important considerations for reducing infection risk during the whole patient journey: pre-, during- and postaesthetic procedure. Recommendations were based on current evidence and extensive clinical experience. Various procedure recommendations were made to achieve and maintain a high standard of asepsis and infection control. Guidance was divided into three phases for patients and health care professionals, covering preprocedure (including patient selection), during-procedure, and postprocedure considerations. Although adherence to standard hospital guidance on handwashing and cleanliness measures is a cornerstone of controlling cross-contamination, aesthetic clinics carry a high potential risk of infection-particularly as popular treatments with dermal fillers primarily involve the face. This expert consensus guidance recommends procedures to mitigate the potential risks of asepsis.
非手术注射美容治疗的普及和需求不断增加，随之而来的是报告的并发症增加，特别是与感染相关的并发症。无菌技术由美容医生掌控，可以进行修改，以最大程度地降低交叉污染和感染的可能性。在所有临床操作中，特别是涉及皮肤天然防御屏障破坏和使用软组织填充剂的操作时，这应该是一个关键的考虑因素。召集了五名英国专家级美容临床医生组成共识小组，讨论医学美容中的无菌技术的当前最佳实践。共识小组的目的是推荐在私人诊所中实现最佳无菌实践的分步程序，并定义在整个患者就诊过程中降低感染风险的重要考虑因素：术前、术中和术后。建议基于现有证据和广泛的临床经验。为了达到并保持高标准的无菌和感染控制，提出了各种操作建议。指南分为患者和医疗保健专业人员的三个阶段，涵盖术前（包括患者选择）、术中和术后的注意事项。虽然遵守手部卫生和清洁措施的标准医院指南是控制交叉污染的基石，但美容诊所具有很高的感染风险，特别是因为受欢迎的皮肤填充治疗主要涉及面部。本专家共识指南建议采取措施来降低无菌技术的潜在风险。
