Mammaplasty-Associated Mycobacterial Infection

Clegg, Herbert W.; Bertagnoll, P; Hightower, Allen W.; Baine, William B.

doi:10.1097/00006534-198308000-00007

Cited by 58 publications

(19 citation statements)

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“…As infecções associadas a ele incluem doença pulmonar, endocardite, otite média, mastoidite e ceratite. Outros tipos de infecções causadas por Mycobacterium (abcessus/ fortuitum/chelonae) foram identificados em procedimentos cirúrgicos estéticos como liposucção e lipoescultura, administração parenteral de vitaminas, extrato de córtex adrenal, lidocaína, silicone, tratamento de acupuntura, colocação de piercing mamilar e banhos em piscinas, uma vez que essa bactéria já foi encontrada em água tratada nas caixas d'água de hospitais (7)(8)(9)(10)(11)(12)(13)(14) . Sua presença nesses locais implica desdobramentos preocupantes, uma vez que foi fonte de problemas em vários setores de serviços de saúde, sendo associadas com fluidos de hemodiáli-se e soluções desinfetantes (6)(7)13) .…”

Section: Discussionunclassified

Infecção por micobactéria após videoartroscopia: o glutaraldeído pode ser o culpado? Estudo experimental in vitro

et al. 2008

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Section: Discussionunclassified

Infecção por micobactéria após videoartroscopia: o glutaraldeído pode ser o culpado? Estudo experimental in vitro

et al. 2008

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“…In developing countries, this problem is even more prevalent; surgery has a 50% rate of possible complications, of which infection is the main complication [3]. The rate of surgical site infection after post-mastectomy breast reconstruction is usually higher, ranging from 1% to 53% [4,5]. In breast reconstruction, a higher rate of infection was reported with expander implants compared to reconstruction with autologous tissue such as latissimus dorsi flaps [6].…”

Section: Epidemiologymentioning

confidence: 99%

“…The contamination of water may be greater in developing countries due to the lack of microbiological checks. A survey of 2,062 augmentation mammaplasties reported an incidence rate of 0.013% for atypical mycobacteria infections [36]. However, the real incidence of these infections could be much greater because mycobacterial cultures are not commonly requested.…”

Section: Rare Infectionsmentioning

confidence: 99%

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

Rubino

Brongo

Pagliara

et al. 2014

J Infect Dev Ctries

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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 extendedspectrum 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.Key words: breast implant infections; acute infections; late infections; fungal infections; rare infections. EpidemiologyImplant infection is the main complication related to breast aesthetic and reconstructive surgery [1]. After breast aesthetic augmentation, up to 2.9% of women are affected by infection [2], with an incidence of 1.7% for acute infections versus an incidence of 0.8% for late infections, as confirmed by retrospective cohort studies with long-term follow-ups [1]. In developing countries, this problem is even more prevalent; surgery has a 50% rate of possible complications, of which infection is the main complication [3]. The rate of surgical site infection after post-mastectomy breast reconstruction is usually higher, ranging from 1% to 53% [4,5]. In breast reconstruction, a higher rate of infection was reported with expander implants compared to reconstruction with autologous tissue such as latissimus dorsi flaps [6]. The highest rates were found in women undergoing immediate reconstruction [4]. The reported number of infections after mammary augmentation and reconstruction is lower than the real incidence, because of the lack of a surveillance network of patients based on long-time follow-ups. The economic commitment for management of implant infections is significant. Kirkland et al. [7] reported an increase of hospital permanence for surgical site infection of 6.5 days, with related health care costs. In the United States, health care costs for surgical site infection after breast surgery were estimated to be about $4,091 [7], or $574 in the outpatient setting [9]...

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“…En 1983 se realizó un estudio mediante encuesta en el que se encontraron solo 5 casos documentados de infección por Micobacterium entre 39,455 procedimientos de mamoplastia de aumento (6). Sin embargo al analizar estos resultados, debemos tener en cuenta la escasa atención prestada al empleo de estudios microbiológicos específicos orientados a detectar este tipo de gérmenes en el contexto del estudio.…”

Section: La Contractura Capsular Y La Contaminación Infecciosa Periprunclassified

Influencia de las cargas triboeléctricas y de la contaminación sintomática de los implantes

Cabús

2007

Cir. plást. iberolatinoam.

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El hallazgo ocasional de energía estática importante en un implante mamario, generó una revisión sistemática de la información disponible al respecto que restableció una secuencia de eventos y conceptos de importancia, a nuestro juicio, en la práctica clínica Los implantes mamarios son elastómeros resultantes de la polimerización industrial que pueden generar cargas electrostáticas en su superficie. El efecto triboeléctrico puede mantener suficiente energía está-tica como para atraer partículas de material capaces de producir una contaminación periprotésica sintomá-tica. El desconocer esta propiedad física puede llevar a una práctica clínica de riesgo al colocar implantes mamarios. Adicionalmente se revisa la microbiología involucrada en la formación capsular periprotésica sintomática y la infección por bacterias productoras de "biofilm". An incidental finding of static energy upon the surface of a breast implant, generated a systematic search that led to a link between triboelectric charges and symptomatic periprosthetic infection.Breast implants are industrial elastomers that may result with electrostatic charges on its surface. Its propper resistivity allows silicone to maintain enough static that atracts and adheres particulate matter to become surface contamination with periprosthetic tissue reaction. Recognition of this particular physical property and its clinical implications allows for safer conditions of practice. We review microbiology involved in periprosthetic capsular formation and infection by «biofilm» producer bacteria.Peña Cabús, G.

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Mammaplasty-Associated Mycobacterial Infection

Cited by 58 publications

References 0 publications

Infecção por micobactéria após videoartroscopia: o glutaraldeído pode ser o culpado? Estudo experimental in vitro

Infecção por micobactéria após videoartroscopia: o glutaraldeído pode ser o culpado? Estudo experimental in vitro

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

Influencia de las cargas triboeléctricas y de la contaminación sintomática de los implantes

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