Table 3.
Details of surgical site infections per operated side within one year of index operation (includes only SSI cases that occurred before a secondary operation such as tissue expander/ implant exchange).
| Pt # | SSI side | POD of SSI onset | Severity of SSI | # of Drains on side of SSI |
Study Bulb Fluid Culture Results at “One Week (POD 6-10) and at Drain Removal | POD of Drain Removal and Study Tubing Culture Results | Clinical Culture Results & Comments | |
|---|---|---|---|---|---|---|---|---|
| Mastx | Axillary | |||||||
|
| ||||||||
| 1 | Control | POD 12 | Cellulitis | 1 | 0 | One week: 1+ CoNS | POD9: >100 CFU CoNS | Not obtained; seen at outside hospital |
|
| ||||||||
| 2 | Control | POD 14 | Cellulitis | 2 | 0 | One week: No growth either drain POD14: Mastx Drain1 No growth POD17: Mastx Drain2 No growth |
POD14: Mastx Drain1 18 CFU CoNS POD17: Mastx Drain2 1 CFU CoNS |
Not obtained; cellulitis only |
|
| ||||||||
| 3 | Control | POD 14 | Cellulitis | 2 | 0 | One week: Mastx Drain 1 1 + Stomatococcus mucilaginosus VGS with unknown quantification |
Cultures missed due to protocol deviation | Not obtained; cellulitis only |
| One week: Mastx Drain 2 Broth only GPB (not Clostridium or Propionibacterium species) | ||||||||
|
| ||||||||
| 4 | Control | POD 30 | Deep SSI requiring TE removal | 2 | 0 | One week: No growth either drain | ||
| POD26: Mastx Drain1 4+ Pseudomonas stutzeri 1+ CoNS |
POD26: Mastx Drain1 51–100 CFU GPB Mycobacterium fortuitum with unknown quantification |
POD30 abscess fluid M fortuitum | ||||||
| POD29: Mastx Drain2 4+ Pseudomonas stutzeri 4+ Acinetobacter species 2+ Enterococcus species |
POD29: Mastx Drain2 No growth |
POD42 TE explant M fortuitum | ||||||
|
| ||||||||
| 5 | Antisepsis | POD 34 | Cellulitis | 1 | 0 | N/A – Patient's drain fell out | N/A – Patient's drain fell out | Not obtained; cellulitis only |
|
| ||||||||
| 6 | Antisepsis | POD 89 | Deep SSI requiring TE removal | 2 | 1 | POD4: Mastx Drain1 No growth One week: No growth Mastx Drain2 or Axillary Drain POD23: Mastx Drain2 No growth POD29: Axillary Drain No growth |
POD4: Mastx Drain1 No growth POD23: Mastx Drain2 No growth POD29: Axillary Drain No growth |
POD89 Cultures: 2+ MSSA (breast swab) 3+ MSSA (breast tissue) 1+ MSSA (deep breast tissue) |
|
| ||||||||
| 7 | Antisepsis | POD 165 | Deep SSI requiring TE removal | 2 | 0 | One week (POD7): No growth either drain | POD7: Mastx Drain2 No growth | Not obtained |
| POD9: Mastx Drain1 1 + Propionibacterium acnes | POD9: Mastx Drain1 No growth | |||||||
|
| ||||||||
| 7 | Control | POD 165 | Deep SSI requiring TE removal | 2 | 1 | One week (POD7): No growth any drain POD13: Axillary drain 2+ VGS 1+ CoNS POD16: Mastx Drain2 1+ CoNS 1+ Staphylococcus pasteuri 1+ Citrobacter freundii complex 1+ GPB |
POD7: Mastx Drain1 1 CFU nonsporeforming GPB 1 CFU Streptococcus mitis POD13: Axillary drain No growth POD16: Mastx Drain2 No growth |
Not obtained; SSI occurred after PMRT |
|
| ||||||||
| 8 | Control | POD 230 | Deep SSI requiring TE removal | 1 | 0 | One week: 1+ VGS POD22: Mastx Drain 3+ Enterococcus species 2+ Corynebacterium species 2+ Staphylococcus haemolyticus 1+ Acinetobacter species |
POD22: Mastx Drain No growth | POD231: Breast swab No growth POD232: Breast fluid 1 colony MSSA Breast capsule 1 colony MSSA SSI occurred after PMRT |
Abbreviations: CoNS—coagulase-negative Staphylococcus species; GPB—gram-positive bacillus; Mastx—mastectomy; MSSA-methicillin sensitive Staphylococcus aureus; PMRT—post-mastectomy radiotherapy; POD—postoperative day; SSI – surgical site infection, VGS–viridans group Streptococcus species