in the best clinical outcome for the treatment or prevention of infection, with minimal toxicity to the patient and minimal impact on subsequent resistance.â€25 When choosing topical antibiotics and antiseptics, antimicrobial resistance should be taken into account, and factors such as geographic region/practice setting (outpatient vs hospital-based) which are associated with microbial epidemiology.22-25
Before starting the procedure, the skin is to be free of make-up and should be cleansed with a gentle facial cleanser.17 For preparing the skin before treatment, topical agents such as isopropyl alcohol, chlorhexidine, or hypochlorous acid (HOCl) are frequently used.6,26 Isopropyl alcohol, although inexpensive, can irritate and is flammable.6,26 Chlorhexidine is used extensively and provides effective antimicrobial pre-surgical skin cleansing.6,27,28 However, it has both ocular- and ototoxicity, especially to the middle ear.27,28 When chlorhexidine is used in peri-ocular areas, it may come into contact with the ocular surface and corneal damage can occur.27,28 Therefore dermatologists, plastic surgeons, and other healthcare providers
Before starting the procedure, the skin is to be free of make-up and should be cleansed with a gentle facial cleanser.17 For preparing the skin before treatment, topical agents such as isopropyl alcohol, chlorhexidine, or hypochlorous acid (HOCl) are frequently used.6,26 Isopropyl alcohol, although inexpensive, can irritate and is flammable.6,26 Chlorhexidine is used extensively and provides effective antimicrobial pre-surgical skin cleansing.6,27,28 However, it has both ocular- and ototoxicity, especially to the middle ear.27,28 When chlorhexidine is used in peri-ocular areas, it may come into contact with the ocular surface and corneal damage can occur.27,28 Therefore dermatologists, plastic surgeons, and other healthcare providers
