{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T07:42:20Z","timestamp":1792827740148,"version":"4.5.0"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,1,13]],"date-time":"2015-01-13T00:00:00Z","timestamp":1421107200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Lasers Surg Med"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:sec><jats:label\/><jats:p>Non\u2010ablative fractional laser procedures have become increasingly popular since their introduction in 2004. The fractional 1,927\u2009nm thulium laser is a non\u2010ablative device that penetrates up to 300\u2009\u03bcm in the skin and the 1,550\u2009nm erbium:glass laser penetrates up to 1,400\u2009\u03bcm. These procedures are considered minimally invasive with a high safety profile; therefore, infectious complications are exceedingly rare. However, we report five recent cases of bacterial infection with both gram\u2010positive and gram\u2010negative organisms following treatment with the fractional 1550\/1927\u2009nm laser approximately 1 day to 1 week post\u2010procedure. One patient had a rapidly progressing pustular eruption with symptoms of sepsis. These patients were seen immediately, cultures were obtained and empiric antibiotic therapy was initiated. They recovered without long\u2010term complications. Rapid\u2010onset bacterial infections following non\u2010ablative laser resurfacing with the 1550\/1927\u2009nm laser have not been previously reported in the literature. The infections can progress quickly and lead to serious sequelae, including systemic illness and severe scarring, if not identified and appropriately treated. We present these cases to highlight the importance of close surveillance and when appropriate, rapid intervention, following non\u2010ablative fractional procedures, especially when patients present with atypical symptoms and signs. Lasers Surg. Med. 47:128\u2013132, 2015. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lsm.22315","type":"journal-article","created":{"date-parts":[[2015,1,14]],"date-time":"2015-01-14T02:17:52Z","timestamp":1421201872000},"page":"128-132","source":"Crossref","is-referenced-by-count":12,"title":["Bacterial infections following non\u2010ablative fractional laser treatment: A case series and discussion"],"prefix":"10.1002","volume":"47","author":[{"given":"Lisa Y.","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Dermatology  Johns Hopkins University 1550 Orleans Street Suite 207 Baltimore Maryland 21231"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne L.","family":"Kilmer","sequence":"additional","affiliation":[{"name":"Laser and Skin Surgery Center of Northern California 3835 J Street Sacramento California 95816"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Victor","family":"Ross","sequence":"additional","affiliation":[{"name":"Scripps Clinic Laser and Cosmetic Dermatology  3811 Valley Centre Dr., Suite 4B San Diego California 92130"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathew M.","family":"Avram","sequence":"additional","affiliation":[{"name":"Dermatology Laser and Cosmetic Center Massachusetts General Hospital, Harvard Medical School 50 Staniford St., Suite 250 Boston Massachusetts 02114"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,1,13]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.20048"},{"issue":"11","key":"e_1_2_5_3_1","first-page":"1595","article-title":"Infectious complications after nonablative fractional resurfacing treatment","volume":"34","author":"Setyadi HG","year":"2008","journal-title":"Dermatol Surg"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2009.01434.x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200201000-00048"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2007.34062.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/09546634.2013.777151"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1473-2165.2011.00585.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.20753"},{"issue":"3","key":"e_1_2_5_10_1","first-page":"315","article-title":"Complications of carbon dioxide laser resurfacing","volume":"24","author":"Nanni CA","year":"1998","journal-title":"An evaluation of 500 patients"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1997.tb00677.x"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2011.01884.x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-4725.2000.00090-1.x"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-4725.1999.99114.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(95)90119-1"}],"container-title":["Lasers in Surgery and Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flsm.22315","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lsm.22315","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T07:11:59Z","timestamp":1694502719000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lsm.22315"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,13]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1002\/lsm.22315"],"URL":"https:\/\/doi.org\/10.1002\/lsm.22315","archive":["Portico"],"relation":{},"ISSN":["0196-8092","1096-9101"],"issn-type":[{"value":"0196-8092","type":"print"},{"value":"1096-9101","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,13]]}}}