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

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      https://www.riss.kr/link?id=A105943121

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      다국어 초록 (Multilingual 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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      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 re...

      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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      참고문헌 (Reference)

      1 Felippe WA, "Surgical site infection among women discharged with a drain in situ after breast cancer surgery" 31 : 2293-2299, 2007

      2 Jae Sung Ahn, "Suction Drain Tip Culture after Spine Surgery: Can It Predict a Surgical Site Infection?" 대한척추외과학회 9 (9): 863-868, 2015

      3 Olsen MA, "Risk factors for surgical site infection after major breast operation" 207 : 326-335, 2008

      4 Degnim AC, "Randomized controlled trial to reduce bacterial colonization of surgical drains after breast and axillary operations" 258 : 240-247, 2013

      5 "Plastic surgery statistics report [Internet]" American Society of Plastic Surgeons

      6 Ahn CY, "Microbial evaluation: 139 implants removed from symptomatic patients" 98 : 1225-1229, 1996

      7 Spear SL, "Management of the infected or exposed breast prosthesis: a single surgeon’s 15-year experience with 69 patients" 125 : 1074-1084, 2010

      8 Spear SL, "Long-term outcomes of failed prosthetic breast reconstruction" 71 : 286-291, 2013

      9 Takada R, "Is drain tip culture prognostic of surgical site infection? Results of 1380 drain tip cultures in total hip arthroplasty" 30 : 1407-1409, 2015

      10 Kobayashi K, "Is a drain tip culture required after spinal surgery?" 30 : 356-359, 2017

      1 Felippe WA, "Surgical site infection among women discharged with a drain in situ after breast cancer surgery" 31 : 2293-2299, 2007

      2 Jae Sung Ahn, "Suction Drain Tip Culture after Spine Surgery: Can It Predict a Surgical Site Infection?" 대한척추외과학회 9 (9): 863-868, 2015

      3 Olsen MA, "Risk factors for surgical site infection after major breast operation" 207 : 326-335, 2008

      4 Degnim AC, "Randomized controlled trial to reduce bacterial colonization of surgical drains after breast and axillary operations" 258 : 240-247, 2013

      5 "Plastic surgery statistics report [Internet]" American Society of Plastic Surgeons

      6 Ahn CY, "Microbial evaluation: 139 implants removed from symptomatic patients" 98 : 1225-1229, 1996

      7 Spear SL, "Management of the infected or exposed breast prosthesis: a single surgeon’s 15-year experience with 69 patients" 125 : 1074-1084, 2010

      8 Spear SL, "Long-term outcomes of failed prosthetic breast reconstruction" 71 : 286-291, 2013

      9 Takada R, "Is drain tip culture prognostic of surgical site infection? Results of 1380 drain tip cultures in total hip arthroplasty" 30 : 1407-1409, 2015

      10 Kobayashi K, "Is a drain tip culture required after spinal surgery?" 30 : 356-359, 2017

      11 Nguyen MD, "Infectious complications leading to explantation in implant-based breast reconstruction with AlloDerm" 10 : e48-, 2010

      12 Nahabedian MY, "Infectious complications following breast reconstruction with expanders and implants" 112 : 467-476, 2003

      13 Araco A, "Infections of breast implants in aesthetic breast augmentations: a single-center review of 3,002 patients" 31 : 325-329, 2007

      14 Pittet B, "Infection in breast implants" 5 : 94-106, 2005

      15 Boostrom SY, "Incidence of clinically significant seroma after breast and axillary surgery" 208 : 148-150, 2009

      16 Murray JD, "Decreasing expander breast infection: a new drain care protocol" 17 : 17-21, 2009

      17 Phillips BT, "Current practice among plastic surgeons of antibiotic prophylaxis and closed-suction drains in breast reconstruction: experience, evidence, and implications for postoperative care" 66 : 460-465, 2011

      18 Alderman AK, "Complications in postmastectomy breast reconstruction: two-year results of the Michigan Breast Reconstruction Outcome Study" 109 : 2265-2274, 2002

      19 Horan TC, "CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting" 36 : 309-332, 2008

      20 Cohen JB, "Breast implant-associated infections: the role of the national surgical quality improvement program and the local microbiome" 136 : 921-929, 2015

      21 Feldman EM, "Breast implant infections: is cefazolin enough?" 126 : 779-785, 2010

      22 Washer LL, "Breast implant infections" 26 : 111-125, 2012

      23 Weichman KE, "Antibiotic selection for the treatment of infectious complications of implant-based breast reconstruction" 71 : 140-143, 2013

      24 Phillips BT, "A systematic review of antibiotic use and infection in breast reconstruction: what is the evidence?" 131 : 1-13, 2013

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
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      KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2007-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2004-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2003-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.12 0.12 0.12
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.12 0.11 0.335 0.02
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