Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Fungal Contamination in Breast Implant Surgery: A Rare, Preventable Complication

03.06.2005


Although apparently uncommon, fungal contamination of saline-filled breast implants is readily preventable, according to a study in the July 1 issue of The Journal of Infectious Diseases, now available online. The key steps are to use closed systems for filling the devices and to adhere to the strict moisture control and operating room ventilation standards in force at major hospitals. The potential benefits of these precautions could be considerable, since 265,832 women in the United States underwent cosmetic or reconstructive breast surgery in 2000 alone, and most received saline-filled implants. Moreover, increasing numbers of non-surgeons are performing cosmetic breast surgery in outpatient clinics, ambulatory surgery centers, or physician offices, where the risk of complications is especially likely without precautions. This study is a case in point.



The investigators, Marion A. Kainer, MBBS, MPH, and coworkers at the Centers for Disease Control and Prevention studied an outbreak in 2000-2001 that involved five women whose implants were found to contain black sediment during revision surgery for cosmetic breast augmentation; the sediment was subsequently identified as Curvularia, a fungus commonly found in soil. All women had been treated in 2000 at an ambulatory surgical facility, where an initial in-house investigation failed to find a source of contamination.

Dr. Kainer and colleagues conducted an extensive investigation to identify factors contributing to the outbreak. They found that sterile saline used to fill the implants was stored directly under a portion of ceiling sheetrock that had been water-damaged a few years before and was still moist. The investigators isolated Curvularia from an air sample taken from the supply room. They also discovered that air was flowing into the operating room associated with the contamination, rather than out of it as infection control guidelines stipulate. Furthermore, sterile saline was poured into a bowl in the operating room before the patient arrived and left exposed to the air until it was drawn into a syringe and injected into the implants.


The investigators concluded that "ambulatory or outpatient surgical centers need to: (1) follow hospital recommendations for regular maintenance of HVAC systems and balancing of airflow in operating rooms; (2) follow infection control guidelines; and (3) include infection control staff in all stages of planning, construction, or renovation of healthcare facilities and HVAC systems." They recommended as well that operating rooms be maintained at positive airflow pressure and that surgeons should always use closed systems to fill breast implants.

Steve Baragona | EurekAlert!
Further information:
http://www.idsociety.org

More articles from Health and Medicine:

nachricht Cholesterol-lowering drugs may fight infectious disease
22.08.2017 | Duke University

nachricht Once invincible superbug squashed by 'superteam' of antibiotics
22.08.2017 | University at Buffalo

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Fizzy soda water could be key to clean manufacture of flat wonder material: Graphene

Whether you call it effervescent, fizzy, or sparkling, carbonated water is making a comeback as a beverage. Aside from quenching thirst, researchers at the University of Illinois at Urbana-Champaign have discovered a new use for these "bubbly" concoctions that will have major impact on the manufacturer of the world's thinnest, flattest, and one most useful materials -- graphene.

As graphene's popularity grows as an advanced "wonder" material, the speed and quality at which it can be manufactured will be paramount. With that in mind,...

Im Focus: Exotic quantum states made from light: Physicists create optical “wells” for a super-photon

Physicists at the University of Bonn have managed to create optical hollows and more complex patterns into which the light of a Bose-Einstein condensate flows. The creation of such highly low-loss structures for light is a prerequisite for complex light circuits, such as for quantum information processing for a new generation of computers. The researchers are now presenting their results in the journal Nature Photonics.

Light particles (photons) occur as tiny, indivisible portions. Many thousands of these light portions can be merged to form a single super-photon if they are...

Im Focus: Circular RNA linked to brain function

For the first time, scientists have shown that circular RNA is linked to brain function. When a RNA molecule called Cdr1as was deleted from the genome of mice, the animals had problems filtering out unnecessary information – like patients suffering from neuropsychiatric disorders.

While hundreds of circular RNAs (circRNAs) are abundant in mammalian brains, one big question has remained unanswered: What are they actually good for? In the...

Im Focus: RAVAN CubeSat measures Earth's outgoing energy

An experimental small satellite has successfully collected and delivered data on a key measurement for predicting changes in Earth's climate.

The Radiometer Assessment using Vertically Aligned Nanotubes (RAVAN) CubeSat was launched into low-Earth orbit on Nov. 11, 2016, in order to test new...

Im Focus: Scientists shine new light on the “other high temperature superconductor”

A study led by scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg presents evidence of the coexistence of superconductivity and “charge-density-waves” in compounds of the poorly-studied family of bismuthates. This observation opens up new perspectives for a deeper understanding of the phenomenon of high-temperature superconductivity, a topic which is at the core of condensed matter research since more than 30 years. The paper by Nicoletti et al has been published in the PNAS.

Since the beginning of the 20th century, superconductivity had been observed in some metals at temperatures only a few degrees above the absolute zero (minus...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Call for Papers – ICNFT 2018, 5th International Conference on New Forming Technology

16.08.2017 | Event News

Sustainability is the business model of tomorrow

04.08.2017 | Event News

Clash of Realities 2017: Registration now open. International Conference at TH Köln

26.07.2017 | Event News

 
Latest News

Cholesterol-lowering drugs may fight infectious disease

22.08.2017 | Health and Medicine

Meter-sized single-crystal graphene growth becomes possible

22.08.2017 | Materials Sciences

Repairing damaged hearts with self-healing heart cells

22.08.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>