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【临床并发症文献】皮肤填充物传染性并发症的病因，预防和处理
Etiology, Prevention, and Management of
简介
【 文献重点摘要 】
The demand for aesthetic augmentation with soft tissue fillers has greatly increased in recent years and has led to an expansion in the number of products available. Unfortunately, an increase in adverse events has followed. These can be categorized into early, late, and delayed. Early infectious complications generally present as a localized skin infection, cellulitis, or abscess. Fillers can also serve as a focus for chronic infection, which is associated with the development of foreign body granulomas, a late complication. Bacterial colonization and indolent infections of the filler site can lead to biofilms that are extremely difficult to treat. Therefore, it is important to focus on prevention through eliciting a thorough patient history including an injection history, practicing sterile technique, and minimizing tissue trauma. Looking forward, much can be done to curtail complication rates. Early teaching and training, a central recording registry for complications, and a standardized filler passport for patients are suggested.
Keywords: fillers, infectious complications, foreign body granuloma, biofilm
近年来，对软组织填充物美容增强的需求大大增加，并导致可用产品数量的增加。不幸的是，随之而来的是不良事件的增加。这些可以分为提前、延迟和延迟。早期感染并发症通常表现为局部皮肤感染、蜂窝组织炎或脓肿。填充物也可以作为慢性感染的焦点，这与异物肉芽肿的发展有关，异物肉芽肿是一种晚期并发症。细菌定植和填充物部位的惰性感染可能导致极难治疗的生物膜。因此，通过了解详细的病史(包括注射病史)、实践无菌技术和最大限度地减少组织损伤来重点预防是很重要的。展望未来，可以做很多事情来降低并发症发生率。建议早期教学和培训，建立并发症的中央记录登记处，并为患者提供标准化的填写护照。
关键词：填充物；感染并发症；异物肉芽肿；生物膜
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