Management of Biofilm with Breast Implant Surgery | Journal CME Article-Journal CME Article: Management of Biofilm with Breast Implant Surgery Video 2 of 7

Journal CME Article: Management of Biofilm with Breast Implant Surgery Video 2 of 7

Video Transcription

So what is the best evidence for managing breast implant biofilms? First it's important to note that higher quality studies are still needed to inform clinical practice.  I would say that if an antibiotic irrigation is to be used, the best available in vivo and in vitro evidence supports the use of povidone iodine.  In cosmetic surgery, evidence supports the use of pre-operative antibiotics only. In reconstruction, the evidence supports at least 24 to 48 hours of post-operative antibiotics.  And the minimization of skin and glandular contact and therefore potential for planktonic bacteria to touch the implant by minimizing with funnels or other barriers is strongly  recommended.

Video Summary

To manage breast implant biofilms, high-quality studies are still needed. Current evidence suggests using povidone iodine for antibiotic irrigation. In cosmetic surgery, pre-operative antibiotics are supported, whereas in reconstruction, 24 to 48 hours of post-operative antibiotics are recommended. Minimizing skin and glandular contact with implants, using funnels or barriers, is also strongly advised to reduce the risk of bacterial contamination.

Keywords

breast implant biofilms

povidone iodine

antibiotic irrigation

cosmetic surgery

bacterial contamination