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Surgical site infection in reconstructive and aesthetic breast surgery: A single center retrospective analysis of the association between healthcare workers and infections

  • Author Footnotes
    1 These authors contributed equally to this work.
    Sharon Kracoff
    Correspondence
    Corresponding author at: Department of Plastic and Reconstructive Surgery, Kaplan Medical Center, Pasternak St. 1, Rehovot, 76100, Israel.
    Footnotes
    1 These authors contributed equally to this work.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Kaplan Medical Center, Rehovot, Israel
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  • Author Footnotes
    1 These authors contributed equally to this work.
    Ariel Berl
    Footnotes
    1 These authors contributed equally to this work.
    Affiliations
    Department of Plastic Surgery, Meir Medical Center, Kfar Saba, Israel
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  • Tanir M. Allweis
    Affiliations
    The Faculty of Medicine, The Hebrew University, Jerusalem, Israel

    The Department of Breast Surgery, Hadassah Medical Center, Jerusalem, Israel
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  • Dana Egozi
    Affiliations
    Department of Plastic and Reconstructive Surgery, Kaplan Medical Center, Rehovot, Israel

    The Faculty of Medicine, The Hebrew University, Jerusalem, Israel
    Search for articles by this author
  • Author Footnotes
    1 These authors contributed equally to this work.
Published:August 21, 2022DOI:https://doi.org/10.1016/j.bjps.2022.08.021

      Summary

      Background

      Reconstructive and aesthetic breast surgeries are frequently performed procedures, and the consequences of a postoperative infection are devastating both for the patient and the healthcare (HC) system. Over the years, there has been heightened interest in the physical and mental well-being of physicians and HC workers. Little is known about the relationship between HC workers and surgical site infections (SSI), and whether HC workers are at an increased risk for SSI. The aim of this study was to investigate whether women working in the HC system have an increased risk for SSI following reconstructive and aesthetic breast surgery.

      Materials and methods

      We conducted a retrospective analysis of all patients who underwent aesthetic and reconstructive breast surgery at our institution between the years 2013–2020. Women who were recognized as HC workers were analyzed in a separate group and compared to those who were not.

      Results

      Records of 378 patients were reviewed, of whom 53 (14%) were identified as HC workers. The overall infection rate was 17.4%. HC workers manifested a higher infection rate than the other group (32% vs. 15.1%, p<0.05) and a significantly higher relative risk for SSI (RR 2.12, p<0.01).

      Conclusions

      Women working in the HC system may have an increased risk of developing postoperative infectious complications following aesthetic and reconstructive breast-related surgery. Further research is needed to corroborate these findings and elucidate the causes.

      Keywords

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