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Infection surveillance and prevention strategies to detect and prevent postaccess breast tissue expander infections

Published online by Cambridge University Press:  13 August 2019

Sima L. Sharara Open the ORCID record for Sima L. Sharara [Opens in a new window] ,
Heather M. Saunders ,
Valeria Fabre ,
Sara E. Cosgrove ,
Donna P. Fellerman ,
Clare Rock ,
Polly A. Trexler ,
Laura B. Lewis ,
Meg G. Bernstein  and
Michele A. Manahan
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Sima L. Sharara*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Heather M. Saunders
Affiliation:
Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland
Valeria Fabre
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Sara E. Cosgrove
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland
Donna P. Fellerman
Affiliation:
Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland
Clare Rock
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland
Polly A. Trexler
Affiliation:
Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland
Laura B. Lewis
Affiliation:
Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
Meg G. Bernstein
Affiliation:
Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
Michele A. Manahan
Affiliation:
Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
Justin M. Sacks
Affiliation:
Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
Gedge D. Rosson
Affiliation:
Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
Lisa L. Maragakis
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland
*
Author for correspondence: Sima Sharara, 1800 E Monument St, 4th Floor, Johns Hopkins University School of Medicine, Baltimore, MD 21287. E-mail: ssharar1@jhmi.edu
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Abstract

No standardized surveillance criteria exist for surgical site infection after breast tissue expander (BTE) access. This report provides a framework for defining postaccess BTE infections and identifies contributing factors to infection during the expansion period. Implementing infection prevention guidelines for BTE access may reduce postaccess BTE infections.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 11 , November 2019 , pp. 1275 - 1277
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

a

Authors of equal contribution.

References

ASPS National Clearinghouse of Plastic Surgery Procedural Statistics. 2017 Plastic Surgery Statistics Report https://www.plasticsurgery.org/documents/News/Statistics/2017/plastic-surgery-statistics-full-report-2017.pdf. Published 2018. Accessed November 1, 2018.Google Scholar
Kato, H, Nakagami, G, Iwahira, Y, et al. Risk factors and risk scoring tool for infection during tissue expansion in tissue expander and implant breast reconstruction. Breast J 2013;19:618–626.CrossRefGoogle ScholarPubMed
Nahabedian, MY, Tsangaris, T, Momen, B, Manson, PN. Infectious complications following breast reconstruction with expanders and implants. Plast Reconstr Surg 2003;112:467–476.CrossRefGoogle ScholarPubMed
Francis, SH, Ruberg, RL, Stevenson, KB, et al. Independent risk factors for infection in tissue expander breast reconstruction. Plast Reconstr Surg 2009;124:1790–1796.CrossRefGoogle ScholarPubMed
Hvilsom, GB, Friis, S, Frederiksen, K, et al. The clinical course of immediate breast implant reconstruction after breast cancer. Acta Oncol Stockh Swed 2011;50:1045–1052.CrossRefGoogle ScholarPubMed
Fischer, JP, Nelson, JA, Serletti, JM, Wu, LC. Peri-operative risk factors associated with early tissue expander (TE) loss following immediate breast reconstruction (IBR): a review of 9305 patients from the 2005–2010 ACS-NSQIP datasets. J Plast Reconstr Aesthet Surg 2013;66:1504–1512.CrossRefGoogle ScholarPubMed
Alderman, AK, Wilkins, EG, Kim, HM, Lowery, JC. Complications in postmastectomy breast reconstruction: two-year results of the Michigan Breast Reconstruction Outcome Study. Plast Reconstr Surg 2002;109:2265–2274.CrossRefGoogle ScholarPubMed
Azouz, V, Mirhaidari, S, Wagner, DS. Defining infection in breast reconstruction: a literature review. Ann Plast Surg 2018;80:587–591.Google ScholarPubMed
Pegues, DA, Shireley, LA, Riddle, CF, et al. Serratia marcescens surgical wound infection following breast reconstruction. Am J Med 1991;91(3B):173S–178S.CrossRefGoogle ScholarPubMed