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Postoperative contact dermatitis caused by skin adhesives used in orthopedic surgery Incidence, characteristics, and difference from surgical site infection

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Abstract
Skin adhesives are used to close clean surgical wounds. We aimed to investigate the incidence of skin adhesive-related contact dermatitis and the characteristics that differentiate it from a surgical site infection. We retrospectively analyzed patients whose surgical wound was closed using a liquid skin adhesive (Dermabond Prineo skin closure system, Ethicon, NJ) by a single surgeon between March 2018 and June 2020. Medical records were reviewed to evaluate complications indicating contact dermatitis, including wound infections and hematomas. We included 143 patients (men, 59; women, 84; mean age, 60.8 years). No patient had an early surgical site infection or wound dehiscence, but 4 (2.8%) developed postoperative contact dermatitis (week 7, 1; week 4, 2; day 9, 1). Manifestations included eczema and pruritus, without local heat or wound discharge. All cases resolved without complications, including infection. Contact dermatitis occurred in 2.8% of patients who received liquid skin adhesive, and the symptoms differed from those of surgical site infection. Patients should be informed about the risk of contact dermatitis before applying a liquid skin adhesive.
Author(s)
김지완소상필윤재연
Issued Date
2021
Type
Article
Keyword
7100Abridged Index Medicuscontact dermatitisObservational Studyskin adhesivesurgical site infection
DOI
10.1097/MD.0000000000026053
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7951
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8137005&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Postoperative%20contact%20dermatitis%20caused%20by%20skin%20adhesives%20used%20in%20orthopedic%20surgery%20Incidence,%20characteristics,%20and%20difference%20from%20surgical%20site%20infection&offset=0&pcAvailability=true
Publisher
MEDICINE
Location
대한민국
Language
영어
ISSN
0025-7974
Citation Volume
100
Citation Number
20
Citation Start Page
0
Citation End Page
0
Appears in Collections:
Medicine > Medicine
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