Bacterial profile of suction drains and the relationship thereof to surgical-site infections in prosthetic breast reconstruction
Background Despite the increasing popularity of prosthetic breast reconstruction, scant data exist on the microbiological profile of drainage fluid from closed-suction drains and the relationship thereof to surgical-site infections (SSIs) in breast reconstruction surgery. This study aimed to determ...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2018-11-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2018.00437 |
| _version_ | 1798005799393427456 |
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| author | Jeongmin Yoon Jae-Ho Chung Na-Hyun Hwang Byung-Il Lee Seung-Ha Park Eul-Sik Yoon |
| author_facet | Jeongmin Yoon Jae-Ho Chung Na-Hyun Hwang Byung-Il Lee Seung-Ha Park Eul-Sik Yoon |
| author_sort | Jeongmin Yoon |
| collection | DOAJ |
| description | Background Despite the increasing popularity of prosthetic breast reconstruction, scant data exist on the microbiological profile of drainage fluid from closed-suction drains and the relationship thereof to surgical-site infections (SSIs) in breast reconstruction surgery. This study aimed to determine whether bacteria isolated from drainage fluid were associated with the development of SSIs, and whether the bacterial profile of drainage fluid could be a clinically useful predictor of SSIs.
Methods We performed a retrospective chart review of 61 women who underwent tissue expander/implant or direct-to-implant reconstructions. Patient demographics and culture studies of drainage fluid from suction drains collected on postoperative day 7 were evaluated.
Results Sixteen patients (26.23%) were culture-positive, and 45 patients (73.77%) were culture-negative. The most frequently isolated bacteria were coagulase-negative staphylococci, followed by Staphylococcus aureus. SSIs were diagnosed in seven patients and were mostly resolved by systemic antibiotics; however, the tissue expander or implant was explanted in two patients. Positive culture of drainage fluid from closed-suction drains was significantly associated with the development of SSIs (P<0.05). The positive predictive value was 37.50%,and the negative predictive value was 97.78%.
Conclusions To our knowledge, this study is the first to demonstrate a significant association between the microbiological profile of drainage fluid from closed-suction drains and the development of SSIs in patients with prosthetic breast reconstructions. The high negative predictive value suggests that microbial testing of drainage fluid from closed-suction drains may have clinical utility. Further prospective studies with larger sample sizes are required to confirm our findings. |
| first_indexed | 2024-04-11T12:44:50Z |
| format | Article |
| id | doaj.art-f3bf51e87a5d44979b509f1d51e3825d |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T12:44:50Z |
| publishDate | 2018-11-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-f3bf51e87a5d44979b509f1d51e3825d2022-12-22T04:23:24ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712018-11-01450654254910.5999/aps.2018.00437978Bacterial profile of suction drains and the relationship thereof to surgical-site infections in prosthetic breast reconstructionJeongmin Yoon0Jae-Ho Chung1Na-Hyun Hwang2Byung-Il Lee3Seung-Ha Park4Eul-Sik Yoon5Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, KoreaBackground Despite the increasing popularity of prosthetic breast reconstruction, scant data exist on the microbiological profile of drainage fluid from closed-suction drains and the relationship thereof to surgical-site infections (SSIs) in breast reconstruction surgery. This study aimed to determine whether bacteria isolated from drainage fluid were associated with the development of SSIs, and whether the bacterial profile of drainage fluid could be a clinically useful predictor of SSIs. Methods We performed a retrospective chart review of 61 women who underwent tissue expander/implant or direct-to-implant reconstructions. Patient demographics and culture studies of drainage fluid from suction drains collected on postoperative day 7 were evaluated. Results Sixteen patients (26.23%) were culture-positive, and 45 patients (73.77%) were culture-negative. The most frequently isolated bacteria were coagulase-negative staphylococci, followed by Staphylococcus aureus. SSIs were diagnosed in seven patients and were mostly resolved by systemic antibiotics; however, the tissue expander or implant was explanted in two patients. Positive culture of drainage fluid from closed-suction drains was significantly associated with the development of SSIs (P<0.05). The positive predictive value was 37.50%,and the negative predictive value was 97.78%. Conclusions To our knowledge, this study is the first to demonstrate a significant association between the microbiological profile of drainage fluid from closed-suction drains and the development of SSIs in patients with prosthetic breast reconstructions. The high negative predictive value suggests that microbial testing of drainage fluid from closed-suction drains may have clinical utility. Further prospective studies with larger sample sizes are required to confirm our findings.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2018.00437mammoplastybreast implantssuctioninfectionbacteria |
| spellingShingle | Jeongmin Yoon Jae-Ho Chung Na-Hyun Hwang Byung-Il Lee Seung-Ha Park Eul-Sik Yoon Bacterial profile of suction drains and the relationship thereof to surgical-site infections in prosthetic breast reconstruction Archives of Plastic Surgery mammoplasty breast implants suction infection bacteria |
| title | Bacterial profile of suction drains and the relationship thereof to surgical-site infections in prosthetic breast reconstruction |
| title_full | Bacterial profile of suction drains and the relationship thereof to surgical-site infections in prosthetic breast reconstruction |
| title_fullStr | Bacterial profile of suction drains and the relationship thereof to surgical-site infections in prosthetic breast reconstruction |
| title_full_unstemmed | Bacterial profile of suction drains and the relationship thereof to surgical-site infections in prosthetic breast reconstruction |
| title_short | Bacterial profile of suction drains and the relationship thereof to surgical-site infections in prosthetic breast reconstruction |
| title_sort | bacterial profile of suction drains and the relationship thereof to surgical site infections in prosthetic breast reconstruction |
| topic | mammoplasty breast implants suction infection bacteria |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2018.00437 |
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