Breast Implant Infections: An Update

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Abstract

Prosthetic breast implantation is a common surgical procedure for augmentation and reconstruction after mastectomy. The incidence of implant infection is 1% to 2.5% and is higher for reconstruction following mastectomy compared with augmentation. Most infections are caused by gram-positive pathogens, such as coagulase-negative staphylococci, Cutibacterium species, Staphylococcus aureus, and streptococci. Acute infections are usually associated with fever and breast pain, erythema, and drainage. Subacute infections may present with chronic pain, persistent drainage, failed healing of the incision site, or migration of the implant. Depending on severity of infection, patients are started on empiric intravenous or oral antibiotics and closely monitored.

Original languageEnglish
Pages (from-to)877-884
Number of pages8
JournalInfectious Disease Clinics of North America
Volume32
Issue number4
DOIs
StatePublished - Dec 2018

Keywords

  • Augmentation mammoplasty
  • Breast implant infection
  • Breast implant removal
  • Breast reconstruction
  • Gram-positive pathogens

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