Characterizing infections in prosthetic breast reconstruction: A validity assessment of national health databases

Piper, Merisa; Roussel, Lauren O.; Koltz, Peter F.; Wang, Frederick; Singh, Kyra; Chin, Robin; Sbitany, Hani; Langstein, Howard N.

doi:10.1016/j.bjps.2017.05.004

Cited by 27 publications

(32 citation statements)

References 32 publications

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“…In the current study, 28% of isolated bacteria were Gram-negative strains. In a recent report of patients who developed SSI after breast reconstruction using implants, Gram-positive strains, including Staphylococcus epidermidis and S. aureus , were most frequently isolated, while 16% of isolates were Gram-negative bacteria such as Pseudomonas aeruginosa [18]. Similarly, Darragh et al reported that S. epidermidis , P. aeruginosa , Enterobacter cloacae , S. aureus , and Escherichia coli are most frequently isolated from patients who develop SSI after breast surgery [19].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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Background and Objectives: Surgical site infection (SSI) is a significant complication of non-reconstructive and reconstructive breast surgery. This study aimed to assess SSI after breast surgery over five years in a single center in Poland. The microorganisms responsible for SSI and their antibiotic susceptibilities were determined. Materials and Methods: Data from 2129 patients acquired over five years postoperatively by the Department of Surgical Oncology, Medical University of Gdansk in Poland were analyzed. Results: SSI was diagnosed in 132 patients (6.2%) and was an early infection in most cases (65.2%). The incidence of SSI was highest in patients who underwent subcutaneous amputation with simultaneous reconstruction using an artificial prosthesis (14.6%), and breast reconstruction via the transverse rectus abdominis muscle (TRAM) flap method (14.3%). Gram-positive bacteria were responsible for SSI in most cases (72.1%), and these were mainly Staphylococcus strains (53.6%). These strains were 100% susceptible to all beta-lactam antibiotics (except penicillin) but were less susceptible to macrolides and lincosamides. Conclusions: SSI is a serious problem, and attention should be focused on its prevention. Reconstruction using an artificial prosthesis or via the TRAM flap method is connected to increased SSI incidence. Further studies are required to prevent SSI following breast surgery.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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“…In the current study, 28% of isolated bacteria were Gram-negative strains. In a recent report of patients who developed SSI after breast reconstruction using implants,Gram-positive strains, including Staphylococcus epidermidis and S.aureus, were most frequently isolated, while 16% of isolates were Gram-negative bacteria, such as Pseudomonas aeruginosa [17].Similarly, Darragh et al reported that S. epidermidis, P. aeruginosa, Enterobacter cloacae, S. aureus, and Escherichia coli are most frequently isolated from patients who develop SSI after breast surgery [18].…”

Section: Discussionmentioning

confidence: 99%

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

Pałubicka¹,

Jaworski²,

Wekwejt³

et al. 2019

Preprint

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Purpose: Surgical site infection (SSI) is a significant complication of non-reconstructive and reconstructive breast. This study aimed to assess SSI after breast surgery over 5 years in a single center in Poland. The microorganisms responsible for SSI and their antibiotic susceptibility were determined. Materials/methods: Data of 2129 patients acquired over 5 years postoperatively by the [center] were analyzed. Results: SSI was diagnosed in 132 patients (6.2%) and was an early infection in most cases (65.2%). The incidence of SSI was highest in patients who underwent subcutaneous amputation with simultaneous reconstruction using an artificial prosthesis (14.6%) and breast reconstruction via the TRAM flap method (14.3%). Gram-positive bacteria were responsible for SSI in most cases (72.1%), and these were mainly Staphylococcus strains (53.6%). These strains were 100% susceptible to all beta-lactam antibiotics (except penicillin), but were less susceptible to macrolides and lincosamides. Conclusions: SSI is a serious problem, and attention should be focused on its prevention. Reconstruction using an artificial prosthesis or via the TRAM flap method is connected to increased SSI incidence. Further studies are required to prevent SSI following breast surgery.

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“…However, some authors have published that there does not appear to be a difference in infection rates between silicone and saline implants, or the surgical procedure seems to have a significant influence on the timing of infection. 4 , 5 , 12 , 13 Brand in his publication says that the smooth-textured and polyuretane-coated implants had similar infection rates 8 ; so the absence of these data in the medical records are not considered to modify the results of this study.…”

Section: Discussionmentioning

confidence: 99%

“…However, there was no statisticallysignificant difference between the first-time group vs the change group, where more transmammary approaches wereused, and in this group the mastopexy technique was used more, despite that there was no more infection in the second group. 4 , 6 , 8 , 10 …”

Section: Discussionmentioning

confidence: 99%

Study of Infections in Breast Augmentation Surgery with Implants in 9,691 Patients over 5 Years

Mesa

Cataño

Tuberquia³

2021

Plastic and Reconstructive Surgery - Global Open

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Background: This study presents a review of a single retrospective cohort of patients who underwent surgery for breast augmentation with implants, during a period of 5 years, aged 17–60 years (mean 32 years), in a single institution, IQ Interquirofanos, a private clinic in the city of Medellín, Colombia. Method: A single retrospective cohort study was carried out, in which the database of patients who underwent breast augmentation with implants during 5 years was analyzed. Results: In this period of time, 9,691 female patients and a total of 19,382 breast implants implanted by 66 plastic surgeons underwent breast augmentation surgery. All the breast prostheses used were round, made of silicone gel in all cases and textured in most of them. 37 patients presented infection at the surgical site, 33 were unilateral and four bilateral, with an incidence of 0.38% per patient. The form of presentation was cellulitis in 46% of the cases, followed by seroma and hematoma in 25%. It was found that there is no difference in the incidence of infection between patients with breast augmentation for the first time and implant replacement due to different causes (OR 1.25, 95% CI 0.66–2.3, P = 0.49). One of the surgeons was associated with 37.8% of the infections and was found to be an asymptomatic carrier of Staphylococcus aureus, requiring medical treatment. The relationship of the infection with the treating surgeons was also analyzed and it was found that there is an association between these two variables. The infection appeared in the first 2 weeks after surgery in 92.7% of the cases. The main isolated germ was Staphylococcus aureus, followed by Pseudomona aeruginosa, Staphylococcus epidermidis, Serratia marcescens, Candida parapsilosis, Enterobacter cloacae, and a patient with Mycobacterium fortuitum in both breasts. Of the 37 patients with infection, six breast implants were required to be explanted in five patients, who were repositioned 3–6 months later without complications. Conclusions: Incidence of infection in augmentation mammoplasty with implants was 0.38% in patients infected in one or both breasts, during 5 years. There is a relationship between the presence of breast infection and the surgeon who performed the intervention. The most frequent germs found in breast implant infections continue to be Staphylococcus aureus followed by Pseudomonas aeruginosa.

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Characterizing infections in prosthetic breast reconstruction: A validity assessment of national health databases

Cited by 27 publications

References 32 publications

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

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

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

Study of Infections in Breast Augmentation Surgery with Implants in 9,691 Patients over 5 Years

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