Preventing Breast Implant Contamination in Breast Reconstruction: A National Survey of Current Practice.
Ann Plast Surg
; 78(2): 153-156, 2017 Feb.
Article
en En
| MEDLINE
| ID: mdl-27464530
ABSTRACT
BACKGROUND:
Implant-based breast reconstruction is commonly performed by plastic surgeons worldwide. Bacterial contamination is of paramount concern because of its role in biofilm formation and capsular contracture. Plastic surgeons have adopted a variety of perioperative interventions in efforts to reduce implant contamination; however, definitive evidence supporting these practices is lacking.OBJECTIVE:
The goal of this study was to assess current practice patterns aimed at reducing implant-related infections.METHODS:
A 20-question survey assessing practices aimed at preventing breast implant-associated infections was generated and distributed via SurveyMonkey to members of the American Society of Plastic Surgery whose e-mail addresses were listed on the American Society of Plastic Surgery member Web site in April 2015.RESULTS:
A total of 1979 invitations to participate in the survey were sent, and 253 responses were received during the 4-month study period. Of respondents, 81% were in private practice. Respondents averaged 21 ± 9 years in practice, and 34 ± 50 implant-based breast reconstructions were performed per year. A majority of surgeons used chlorhexidine to prepare the surgical site (52%), a triple antibiotic soak for the implant prior to placement (50%) and povidone-iodine for implant pocket irrigation (44%). A no-touch technique utilizing the Keller funnel was adopted by 69% of surgeons. Regarding antibiotic use in the postoperative period, first-generation cephalosporins (eg, cephalexin, cefadroxil) were used by a majority of surgeons (84%), and the most common duration was until drain removal (45%).CONCLUSIONS:
There is considerable heterogeneity in surgical practices aimed at preventing bacterial contamination in implant-based breast reconstruction. Surgeons may benefit from high-level studies designed to create standardized evidence-based practice guidelines.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Pautas de la Práctica en Medicina
/
Infecciones Relacionadas con Prótesis
/
Control de Infecciones
/
Implantes de Mama
/
Atención Perioperativa
/
Implantación de Mama
Tipo de estudio:
Guideline
/
Qualitative_research
Límite:
Female
/
Humans
País como asunto:
America do norte
Idioma:
En
Año:
2017
Tipo del documento:
Article