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mg. every 6 hours for 10 days, during which time the surgeon suspended surgical procedures. Recommendations were made regarding infection prevention practices; these were undertaken by the surgeon. Although soft tissue infection following sclerotherapy may be underreported, large case series have not noted this complication in the past (2,3); this finding suggests that any soft tissue infection following sclerotherapy should be investigated. These cases highlight the need for vigilance when considering infection control for minor procedures that take place outside of the support of hospital-based infection control services. Soft tissue infections as complications following varicose vein sclerotherapy appear to be rare (1–3). The Australian Aethoxysklerol study reported no cellulitis in 16,804 legs injected with the sclerosing agent, and superficial thrombophlebitis occurred at a rate of 0.08 % at 2-year review (2). Likewise, a multicenter registry with 22 European phlebology clinics reported no cellulitis or necrotizing fasciitis in 12,173 sessions (3). Similarly, surgical site infections with Group A Streptococcus spp. are uncommon. A multicenter survey of 72 centers worldwide reported all β-hemolytic Streptococcus spp. (including group A and group G) accounted for <5 % of infections (4), while surveillance in the 1990s by Centers for Disease Control and Prevention reported <1 % of all surgical wound infections was caused by group A Streptococcus spp. (5). A Canadian study reported invasive group A Streptococcus infections following surgery in 1.1 cases per 100,000 admissions (6). Outbreaks have been infrequently described (5,7– 10), and sources of colonization range from throat to anus and vagina

Topics: 200 patients. J Dermatol Surg Oncol
Year: 2013
OAI identifier: oai:CiteSeerX.psu:10.1.1.306.3874
Provided by: CiteSeerX
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