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The microbial epidemiology of breast implant infections in a regional referral centre for plastic and reconstructive surgery in the south of France
- Source :
- International Journal of Infectious Diseases, Vol 35, Iss C, Pp 62-66 (2015)
- Publication Year :
- 2015
-
Abstract
- Background: Breast implant infections are usually caused by Staphylococcus aureus and coagulase-negative staphylococci. Gram-negative bacilli are rarely reported to be involved in breast implant infections. Methods: Thirty-seven cases of microbiologically confirmed breast implant infection managed from January 2008 to June 2012 in the study centre were reviewed, including 10 cases from the study centre itself and 27 cases from private clinics in the region. Results: The prevalence of breast implant infection in the study centre was 0.74% of breast implantation, i.e., 3.23% in breast reconstruction for breast cancer and 0.27% in aesthetic breast augmentation (p = 0.0002). Of the 37 cases, 30% had undergone radiotherapy and 11% had undergone a lymph node dissection. S. aureus was identified in 18 cases, Gram-negative bacilli in 10 cases, coagulase-negative staphylococci in eight cases, anaerobic bacteria in eight cases, and streptococci in three cases. Pseudomonas aeruginosa was the second most commonly identified pathogen. Staphylococcus epidermidis was the most frequent coagulase-negative Staphylococcus species. In addition to Propionibacterium acnes and Actinomyces neuii, other facultative and strict anaerobic bacteria have not been reported before, e.g., Bacteroides thetaiotaomicron, Corynebacterium simulans, Dermabacter hominis, Finegoldia magna, and Peptoniphilus harei. Seventy-percent of cases were treated by immediate implant removal. All cases treated only with antibiotics were treated with surgery at the second visit. Conclusions: The microbiological epidemiology was noted by an increasing the proportion of Gram-negative bacteria and anaerobic bacteria detected with the advent of MALDI-TOF MS and molecular identification for diagnosis.
- Subjects :
- Microbiology (medical)
Adult
Staphylococcus aureus
Bacteria
Breast Implants
Mammaplasty
Staphylococcus
Bacterial Infections
Middle Aged
lcsh:Infectious and parasitic diseases
Anaerobic bacteria
Breast Diseases
Young Adult
Infectious Diseases
Postoperative Complications
Gram-Negative Bacteria
Pseudomonas aeruginosa
Humans
lcsh:RC109-216
Female
France
Referral and Consultation
Breast implant infection
Human
Aged
Subjects
Details
- ISSN :
- 18783511
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
- Accession number :
- edsair.pmid.dedup....e004bec126af3aad6b4e546aa3714469