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Infections in breast implants: a review with a focus on developing Countries

Rubino, Corrado and Brongo, Sergio and Pagliara, Domenico and Cuomo, Roberto and Abbinante, Giulia and Campitiello, Nicola and Santanelli, Fabio and Chessa, Daniela (2014) Infections in breast implants: a review with a focus on developing Countries. The Journal of Infection in Developing Countries, Vol. 8 (9), p. 1089-1095. ISSN 2036-6590. eISSN 1972-2680. Article.

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DOI: 10.3855/jidc.3898

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Abstract

The risk of surgical site infection is always present in surgery; the use of prosthetic materials is linked to an increased possibility of infection. Breast augmentation and breast reconstruction with implants are gaining popularity in developing countries. Implant infection is the main complication related to breast aesthetic and reconstructive surgery. In the present paper, we reviewed the current microbiological knowledge about implant infections, with particular attention to risk factors, diagnosis, clinical management, and antibiotic prophylaxis, focusing on reports from developing countries. After breast aesthetic surgery, up to 2.9% of patients develop a surgical site infection, with an incidence of 1.7% for acute infections and 0.8% for late infections. The rate of surgical site infection after post-mastectomy breast reconstruction is usually higher, ranging from 1% to 53%. The clinical features are not constant, and bacterial culture with antibiogram is the gold standard for diagnosis and for identification of antibiotic resistance. While waiting for culture results, empiric therapy with vancomycin and extended-spectrum penicillins or cephalosporins is recommended. Some patients require removal of the infected prosthesis. The main methods to bring down the risk of infection are strict asepsis protocol, preoperative antibiotic prophylaxis, and irrigation of the surgical pocket and implant with an antibiotic solution.

Item Type:Article
ID Code:10167
Status:Published
Refereed:Yes
Uncontrolled Keywords:Breast implant infections, acute infections, late infections, fungal infections, rare infections
Subjects:Area 06 - Scienze mediche > MED/19 Chirurgia plastica
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
Publisher:OLoeP
ISSN:2036-6590
eISSN:1972-2680
Copyright Holders:© 2014 Rubino et al.
Deposited On:09 Oct 2014 12:30

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