Skin and soft tissue infections after breast surgery.

Abstract:

PURPOSE OF REVIEW:Breast surgery is considered a clean surgical procedure; nevertheless, infection rates are often higher than those reported after other similarly considered clean surgeries (e.g., thyroid, hernia). Acute bacterial skin and soft tissue infections, mostly surgical site infections and implant-associated infections are commonest events that could complicate postoperative care. RECENT FINDINGS:Risk of infection is closely related to surgery procedure itself and patients host factors. Gram-positive bacteria with pattern of antimicrobial resistance are increasingly isolated and before today less frequent causes such as gram negative and mycobacteria infections. Impact of postoperative complications is underestimated and lacking an appropriate care and education for local and systemic management. SUMMARY:We report the current evidence on the management of infections after breast surgery. New drugs options for methicillin-resistant Staphylococcus aureus and other gram positive should have a place in this setting. Stewardship activities aiming at reducing infections risks with the correct considerations of host, microbiological and surgical risk factors.

journal_name

Curr Opin Infect Dis

authors

Corcione S,Lupia T,De Rosa FG

doi

10.1097/QCO.0000000000000531

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

87-94

issue

2

eissn

0951-7375

issn

1473-6527

journal_volume

32

pub_type

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