Analysis of clinical management of infected breast implants and of factors associated to successful breast pocket salvage in infections occurring after breast reconstruction

Abstract

Patient selection in clinical practice leads to differences in patients with breast implant infection who are considered for attempts at implant salvage vs. those who are treated with implant removal. Salvage of breast implant pockets can be obtained in the majority of patients with combined one-step implant replacement surgery and antibiotic treatment. Increased efforts and protocols to recruit patients into pocket salvage management are needed.

Surgical Site Infection after Breast Surgery: A Retrospective Analysis of 5-Year Postoperative Data from a Single Center in Poland

“…Susceptibility testing of the staphylococcal isolates found drug resistance in 63% [9]. In patients with breast implant infection, the vast majority of isolates are Gram-positive microorganisms (83%), with the rate of methicillin-sensitive staphylococci of 49% and a much lower proportion of infections due to methicillin-resistant vs. susceptible Staphylococcus aureus (MRSA vs. MSSA, 3.5% vs. 30.6%, respectively) [10].…”

Prototheca wickerhamii breast implant infection after reconstructive surgery: a new level of complexity

“…Worldwide, the reported incidence of BRSPM infection has wide variation at 1–35% [ [9] , [10] , [11] , [12] , [13] ]. BRSPM procedures have a higher incidence of infections compared with cosmetic breast augmentation [ 9 ].…”

“…Worldwide, the reported incidence of BRSPM infection has wide variation at 1–35% [ [9] , [10] , [11] , [12] , [13] ]. BRSPM procedures have a higher incidence of infections compared with cosmetic breast augmentation [ 9 ]. Sources of infection include environmental contamination of the implant or surgical milieu, breaches in skin integrity and haematogenous or contiguous spread [ [12] , [13] , [14] ].…”

Successful salvage of an infected breast prothesis by changing from continuous to intermittent suction under continuous irrigation

“…Implant infections generally occur more than 30 days after surgery with Staphylococcus species [ [5] , [6] , [7] , [8] ].…”

“…Therapeutic approaches vary among hospitals, but mainly include two main types: conservative and surgical [ 6 , 9 ]. Conservative treatment involves antibiotics alone.…”