ArticleWorld journal of surgery2007
Surgical site infection among women discharged with a drain in situ after breast cancer surgery.
Article in World journal of surgery, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Randomized Controlled Trial to Reduce Surgical Site Infections in Breast Cancer Surgery With Clorhexidine Gluconate Securement Dressing (Tegaderm CHG)
Surgical Site Infection (SSI) Rates in Patients Undergoing Mastectomy Without Reconstruction, a Comparison Among Those Receiving Preoperative Prophylactic Antibiotics Alone Versus Continued Prophylactic Antibiotics Postoperatively-A Multicenter, Double-blinded Randomized Control Trial.
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.
- A systematic review of risk factors associated with surgical site infections among surgical patients.PloS one · 2013Pooled it
- Bacterial colonization of seromas after breast cancer surgery with and without local steroid prophylaxis.World journal of surgical oncology · 2019Trial
- Comparison of Output Volume Thresholds for Drain Removal After Selective Lateral Neck Dissection: A Randomized Clinical Trial.JAMA otolaryngology-- head & neck surgery · 2017Trial
- Antibiotic prophylaxis in reduction mammaplasty: study protocol for a randomized controlled trial.Trials · 2016Trial
- Randomized trial of drain antisepsis after mastectomy and immediate prosthetic breast reconstruction.Annals of surgical oncology · 2014Trial
- Randomized controlled trial to reduce bacterial colonization of surgical drains after breast and axillary operations.Annals of surgery · 2013Trial
- "Safety and efficacy of early drain removal in breast reconstruction: a retrospective cohort study".Breast cancer (Tokyo, Japan) · 2026Article
- One or Two Drains? A Propensity Score-Matched Analysis of Postoperative Complications After Tissue Expander Placement.Annals of surgical oncology · 2026Article
- To drain or not to drain in minimal invasive ventral hernia surgery.Langenbeck's archives of surgery · 2025Article
- Have We Really Shifted to an Evidence-Based Practice? A Qualitative Analysis of Primary Breast Augmentation.Eplasty · 2024Article
- Comparative study on the selection of drainage methods in posterior lumbar interbody fusion.BMC surgery · 2023Article
- Article
- Diagnostic value of inflammatory indicators for surgical site infection in patients with breast cancer.Frontiers in cellular and infection microbiology · 2023Article
- It Is Time to Resolve the Dilemma and Move Away From Using Drains in Primary Breast Augmentation.Aesthetic surgery journal. Open forum · 2023Article
- Are drains useful in eTEP ventral hernia repairs? An AWR surgical collaborative (AWRSC) retrospective study.Surgical endoscopy · 2022Article
- Drain Removal Time in Pre-pectoral versus Dual Plane Prosthetic Breast Reconstruction following Nipple-sparing Mastectomy.Plastic and reconstructive surgery. Global open · 2022Article
- Procedures Never Explained in Textbooks: How to Correctly Convert a Closed-Suction Drain to a Closed-Gravity Drain, and How to Correctly Remove a Closed-Suction Drain Off Suction.Journal of surgery and research · 2022Article
- Article
- Incidence and root causes of surgical site infections after gastrointestinal surgery at a public teaching hospital in Sudan.Patient safety in surgery · 2020Article
- Factors associated with postsurgical wound infections among breast cancer patients: A retrospective case-control record review.International wound journal · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are scarce data on the factors associated with surgical site infection (SSI) among women who are discharged with a drain in situ after breast cancer surgery. The aim of this study was to determine the incidence and the factors associated with SSI in a center where women are routinely discharged with a drain in place.
methodsA prospective cohort study included 354 women who underwent surgical treatment for breast cancer at a referral center in Rio de Janeiro, Brazil.
resultsSSI was diagnosed in 60 patients (17%) after a median follow-up of 17 days. Most infections were caused by Staphylococcus aureus. The probability of bacterial colonization of the drain was 33% on postoperative day (POD) 7 and rose to 80.8% up to the POD 14. In 83% of the cases of microbiologically documented infection, SSI was caused by the same bacterial species that had been previously isolated from the drainage fluid. In multivariate regression analyses, age 50 years (p < 0.001), skin flap necrosis (p < 0.001), and bacterial colonization of the drain (p = 0.03) were independently associated with a higher incidence of SSI.
conclusionThe incidence of SSI among women who were routinely discharged with a drain in place was high. Older age, skin flap necrosis, and bacterial colonization of the drain were independent predictors of SSI. Modifications of the surgical technique aimed at reducing the risk of wound necrosis and early removal of the drain may contribute to lowering the risk of SSI among these patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.