Bacterial profile of suction drains and the relationship thereof to surgical-site infections in prosthetic breast reconstruction

Jeongmin Yoon, Jae Ho Chung, Na Hyun Hwang, Byung-Il Lee, Seung Ha Park, Eul Sik Yoon

Research output: Contribution to journalArticle

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Abstract

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.

Original languageEnglish
Pages (from-to)542-549
Number of pages8
JournalArchives of Plastic Surgery
Volume45
Issue number6
DOIs
Publication statusPublished - 2018 Nov 1

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Surgical Wound Infection
Mammaplasty
Suction
Drainage
Tissue Expansion Devices
Bacteria
Coagulase
Staphylococcus
Sample Size
Staphylococcus aureus
Demography
Prospective Studies
Anti-Bacterial Agents

Keywords

  • Bacteria
  • Breast implants
  • Infection
  • Mammoplasty
  • Suction

ASJC Scopus subject areas

  • Surgery

Cite this

Bacterial profile of suction drains and the relationship thereof to surgical-site infections in prosthetic breast reconstruction. / Yoon, Jeongmin; Chung, Jae Ho; Hwang, Na Hyun; Lee, Byung-Il; Park, Seung Ha; Yoon, Eul Sik.

In: Archives of Plastic Surgery, Vol. 45, No. 6, 01.11.2018, p. 542-549.

Research output: Contribution to journalArticle

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title = "Bacterial profile of suction drains and the relationship thereof to surgical-site infections in prosthetic breast reconstruction",
abstract = "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.",
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