%0 Journal Article
%T Surgical Site Infection Complicating Breast Cancer Surgery in Kuwait
%A Abeer A. Omar
%A Haifaa H. Al-Mousa
%J ISRN Preventive Medicine
%D 2013
%R 10.5402/2013/295783
%X Background and Objectives. Surgical site infection (SSI) is the most common postoperative complication associated with breast cancer surgery. The present investigation aimed to determine the SSI rate after breast cancer surgeries and the causative microorganisms. Patients and Methods. All patients who underwent breast surgery in Kuwait Cancer Control Center as a treatment for breast cancer from January 2009¨CDecember 2010 were prospectively followed for the development of SSI. Indirect detection was used to identify SSIs through medical record to review and discussion with the treating surgeons. Results. The number of operations was 438. Females represented 434 (99.1%) cases while males constituted only 4 (0.9%) cases. SSIs were diagnosed after 10 operations, all for female cases. Most of the SSIs (8 cases; 80%) were detected after patients were discharged, during outpatient followup. Out of those 5/8; (62.5%) were readmitted for management of SSI. Nine patients (90%) received systemic antibiotic therapy for management of their wound infection. The SSI rate was 2.3%. The main causative organism was Staphylococcus aureus (S. aureus) which was responsible for 40% of infections. Gram negative bacteria were isolated from 40% of the cases. Conclusion. SSI is an important complication following breast cancer surgery. Microbiological diagnosis is an essential tool for proper management of such patients. 1. Introduction Breast cancer is one of the most frequent malignancies in women worldwide [1]. In Kuwait, it ranked first among both Kuwaiti and non-Kuwaiti women. During the period from 2000 to 2008, it constituted 36.0% and 39.5% from the newly diagnosed cancer cases in Kuwaiti and non-Kuwaiti females, respectively [2]. Excision of the primary tumor (by mastectomy or breast conserving surgery) and sentinel lymph node or axillary lymph node dissection are standard procedures for the treatment of most cases [1]. Surgical site infection (SSI) is the most common postoperative complication associated with breast cancer surgery [3]. The development of SSI can lead to prolonged hospital stay with increased costs, poor cosmetic results, psychological trauma, and, occasionally, a delay in postoperative adjuvant therapies [4]. To the best of our knowledge, no published studies reported SSI rate after breast cancer surgery in Kuwait. Hence, the present investigation was aiming to determine the SSI rate after breast cancer surgeries and the causative microorganisms as a step to improve the management and the outcome of such patients. 2. Subjects and Methods All patients
%U http://www.hindawi.com/journals/isrn.preventive.medicine/2013/295783/