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Area of Science:

  • Plastic Surgery
  • Infectious Diseases
  • Microbiology

Background:

  • Implant-based breast reconstruction (IBR) is a prevalent procedure for breast cancer patients.
  • Bacterial infections are a significant risk, occurring in 1-43% of cases.
  • Common pathogens include Staphylococcus species, but local variations exist globally.

Purpose of the Study:

  • To update antibiotic protocols for breast reconstruction infections based on regional pathogens.
  • To analyze local microbiological data and compare it with international findings.

Main Methods:

  • Retrospective review of 28 infected IBR cases from 2013-2019.
  • Analysis of institutional and global microbiological data on breast implant infections.

Main Results:

  • 46.4% of infected cases had positive bacterial cultures.
  • Pseudomonas aeruginosa was the most common pathogen (46.1%) in this cohort.
  • Significant international variations in pathogen prevalence and antibiotic sensitivity were observed.

Conclusions:

  • Medical centers should regularly collect and analyze local microbiological data for infected breast reconstructions.
  • Updated local data are crucial for tailoring empirical antibiotic regimens.
  • This approach optimizes treatment for post-reconstruction infections.