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Journal of Long-Term Effects of Medical Implants

Published 4 issues per year

ISSN Print: 1050-6934

ISSN Online: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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Presence of Biofilms on Polyurethane-Coated Breast Implants: Preliminary Results

Volume 26, Issue 3, 2016, pp. 237-243
DOI: 10.1615/JLongTermEffMedImplants.2016016851
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ABSTRACT

Polyurethane-coated breast implants seem to be associated with lower medium- and long-term capsular contracture rates in comparison to textured or smooth implant surfaces. Although the etiology of capsular contracture is uncertain, bacterial biofilms have been suggested to trigger chronic peri-implant inflammation, eventually leading to capsular contracture. It is unknown whether polyurethane-coated implants are less prone to biofilm colonization than other implant surfaces.
We extracted data from patient records included in a prospective cohort between 2008 and 2011. All patients who underwent removal of polyurethane-coated implants were included in this current study and screened for presence of biofilms by sonication. In addition, implant- and patient-related data were analyzed.
Of the ten included polyurethane-coated breast implants, six had been inserted for reconstructive purposes and four for aesthetic reasons. The median implant indwelling time was 28.3 mo. Overall, sonication cultures were positive in 50% of implants. Propionibacterium acnes and coagulase-negative staphylococci were the predominant pathogens isolated from biofilm cultures. Like other implant surfaces, polyurethane-coated implants are prone to biofilm colonization. Further investigations are needed to determine why capsular contracture rates seem to be lower in polyurethane implants than in other implant surfaces. Notably, in this study, 40% of the implants were explanted from breasts with severe capsular contracture.

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  2. Prantl Lukas, Momeni Arash, Brebant Vanessa, Kuehlmann Britta, Heine Norbert, Biermann Niklas, Brix Eva, Recommendations for the Use of Antibiotics in Primary and Secondary Esthetic Breast Surgery, Plastic and Reconstructive Surgery - Global Open, 8, 1, 2020. Crossref

  3. Alverdy John C, Hyman Neil, Gilbert Jack, Re-examining causes of surgical site infections following elective surgery in the era of asepsis, The Lancet Infectious Diseases, 20, 3, 2020. Crossref

  4. Oliva Alessandra, Miele Maria Claudia, Al Ismail Dania, Di Timoteo Federica, De Angelis Massimiliano, Rosa Luigi, Cutone Antimo, Venditti Mario, Mascellino Maria Teresa, Valenti Piera, Mastroianni Claudio Maria, Challenges in the Microbiological Diagnosis of Implant-Associated Infections: A Summary of the Current Knowledge, Frontiers in Microbiology, 12, 2021. Crossref

  5. Dörfel Dorothea, Maiwald Matthias, Daeschlein Georg, Müller Gerald, Hudek Robert, Assadian Ojan, Kampf Günter, Kohlmann Thomas, Harnoss Julian Camill, Kramer Axel, Comparison of the antimicrobial efficacy of povidone-iodine-alcohol versus chlorhexidine-alcohol for surgical skin preparation on the aerobic and anaerobic skin flora of the shoulder region, Antimicrobial Resistance & Infection Control, 10, 1, 2021. Crossref

  6. Coenye Tom, Spittaels Karl-Jan, Achermann Yvonne, The role of biofilm formation in the pathogenesis and antimicrobial susceptibility of Cutibacterium acnes, Biofilm, 4, 2022. Crossref

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