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Infections after breast surgery costly: US study

Last Updated: 2008-01-21 16:13:38 -0400 (Reuters Health)

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Infections after breast surgery costly: US study

While most women who have breast cancer surgery WON'T develop an infection, the study reviewed here found that infections after breast surgery happen more often than expected.

This study found:

  • More than 1 in 20 women (a little higher than 5%) developed an infection at the site of the incision after breast surgery.
  • The risk of infection was different depending on the type of surgery that was being done:
    • 4% for mastectomy with no reconstruction
    • 12% for surgery with implant reconstruction
    • 7% for reconstruction surgery using skin and/or muscle from the belly area
    • 1% for breast reduction surgery

It can be hard to think about the possibility of infection when you're making important decisions about your treatment plan. If surgery is a part of your treatment for breast cancer and you're concerned about the possibility of infection, talk to your doctor about:

  • How often infections occur after the type of surgery you're having in the hospital you'll be using.
  • How that infection rate compares to the infection rate at other area hospitals.
  • The possibility of your surgery being done as an outpatient procedure or with a short hospital stay after surgery. Many infections after surgery happen because of germs in the hospital environment.
  • The steps that will be taken before, during, and after surgery to reduce the risk of infection. For example, some doctors recommend that people scheduled for surgery use a special washing procedure before coming to the hospital. Other doctors may prescribe antibiotics before or during surgery to lower the risk of infection.

It's important to remember that most women having breast surgery will NOT develop an infection. If an infection does develop, it usually can be treated successfully with antibiotics. Together, you and your doctor can develop a plan that is the best for YOU.

In the breastcancer.org Surgery section, you can read more about what to expect before, during, and after surgery to treat breast cancer.

More Research News on Surgery (26 Articles)

CHICAGO (Reuters) - More than one in 20 patients undergoing breast surgery later developed infections at incision sites, according to a study released on Monday, a complication that was more common than thought.

The U.S. Centers for Disease Control and Prevention estimates the infection rate following breast removal surgery at 2 percent, although earlier surveys put it at anywhere between 1 percent and 28 percent.

In the two-year study published in this month's issue of the Archives of Surgery, 5.3 percent, or 50, of nearly 950 patients developed infections within a year of their procedures, either inside and outside of the hospital. The average time between surgery and infection was 47 days.

"The surgical site infection rates following breast surgery seem to be much greater than the nationally reported incidence of 2 percent and much higher than what is expected for clean surgical procedures," Margaret Olsen of the Washington University School of Medicine in St. Louis wrote in her report.

Olsen urged hospitals take greater care by making sure preventive antibiotics are administered correctly before surgery, maintaining meticulous hand hygiene and ensuring timely removal of wound drains.

The cost of follow-up medical care ranged widely, but was put by the study at roughly $4,000 per patient.

Infections have taken on fresh urgency amid a rise in drug-resistant staph infections contracted both inside and outside of hospitals.

Roughly one in eight women in the study who had a cancerous breast removed and then underwent breast reconstruction with an implant developed an infection. The infection rate was 7 percent among those who had breast reconstruction using tissue taken from the abdomen, which was also an area where infections struck.

Infections occurred among 4 percent of women undergoing a mastectomy only, and among just 1 percent of those having breast reduction surgery.


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