Bacitracin for Injection Recall: Impact on Immediate Breast Implant Surgical Outcomes

Table 9

Sub-stratification of case outcomes.

	Total	Pre-recall	Post-recall	value
Surgery type
Reconstructive	n = 237	n = 162	n = 75
Number of antibiotics	2.53 ± 0.59	2.79 ± 0.48	1.97 ± 0.37	<0.001
Complications
Any complication	37 (15.62)	28 (17.28)	9 (12.00)	0.297
Infection	18 (7.59)	11 (6.79)	7 (9.33)	0.492
Cellulitis	9 (3.80)	6 (3.70)	3 (4.00)	0.912
Other complications	10 (4.22)	6 (3.70)	4 (5.33)	0.562
Augmentation	n = 17	n = 10	n = 7
Number of antibiotics	2.82 ± 0.39	3.00 ± 0	2.57 ± 0.53	0.103
Complications
Any complication	0 (0.00)	0 (0.00)	0 (0.00)	1.0
Infection	0 (0.00)	0 (0.00)	0 (0.00)	1.0
Cellulitis	0 (0.00)	0 (0.00)	0 (0.00)	1.0
Other complications	0 (0.00)	0 (0.00)	0 (0.00)	1.0
History of breast radiation
Prior RT	n = 34	n = 26	n = 8
Number of antibiotics	2.65 ± 0.49	2.84 ± 0.38	2.00 ± 0.00	<0.001
Complications
Any complication	12 (35.29)	11 (42.31)	1 (12.50)	0.123
Infection	4 (11.76)	3 (11.54)	1 (12.50)	0.941
Cellulitis	2 (5.88)	2 (7.69)	0 (0.00)	0.419
Other complications	3 (8.82)	3 (11.54)	0 (0.00)	0.314
No prior RT	n = 208	n = 134	n = 74
Number of antibiotics	2.51 ± 0.60	2.78 ± 0.50	2.03 ± 0.44	<0.001
Complications
Any complication	25 (12.02)	17 (12.69)	8 (10.81)	0.690
Infection	14 (6.73)	8 (5.97)	6 (8.11)	0.556
Cellulitis	7 (3.37)	4 (2.99)	3 (4.05)	0.682
Other complications	7 (3.37)	3 (2.24)	4 (5.41)	0.225
Use of acellular dermal matrix
ADM used	n = 86	n = 49	n = 37
Number of antibiotics	2.48 ± 0.55	2.80 ± 0.41	2.05 ± 040	<0.001
Complications
Any complication	15 (17.44)	7 (14.29)	8 (21.62)	0.375
Infection	9 (10.47)	3 (6.12)	6 (16.22)	0.130
Cellulitis	5 (5.81)	2 (4.08)	3 (8.11)	0.430
Other complications	6 (6.98)	2 (4.08)	4 (10.81)	0.225
ADM not used	n = 168	n = 123	n = 45
Number of antibiotics	2.59 ± 0.59	2.80 ± 0.49	2.00 ± 0.43	<0.001
Complications
Any complication	22 (13.10)	21 (17.07)	1 ()	0.012
Infection	9 (5.36)	8 (6.50)	1 ()	0.275
Cellulitis	4 (2.38)	4 (3.25)	0 (0.00)	0.221
Other complications	4 (2.38)	4 (3.25)	0 (0.00)	0.221
Reconstruction timing
Immediate	n = 51	n = 28	n = 23
Number of antibiotics	2.57 ± 0.50	2.89 ± 0.31	2.17 ± 0.39	<0.001
Complications
Any complication	13 (25.50)	6 (21.43)	7 (30.43)	0.463
Infection	10 (19.61)	4 (14.29)	6 (26.09)	0.291
Cellulitis	5 (9.80)	2 (7.14)	3 (13.0)	0.481
Other complications	4 (7.84)	1 (3.57)	3 ()	0.211
Delayed-immediate	n = 63	n = 48	n = 15
Number of antibiotics	2.56 ± 0.62	2.77 ± 0.52	1.87 ± 0.35	<0.001
Complications
Any complication	9 ()	9 ()	0 ()	0.070
Infection	3 ()	3 ()	0 ()	0.321
Cellulitis	0 ()	0 ()	0 ()	1.0
Other complications	2 ()	2 ()	0 ()	0.422
Delayed	n = 123	n = 86	n = 37
Number of antibiotics	2.50 ± 0.61	2.77 ± 0.50	1.89 ± 0.31	<0.001
Complications
Any complication	15 ()	13 ()	2 ()	0.131
Infection	5 ()	4 ()	1 ()	0.616
Cellulitis	4 ()	4 ()	0 ()	0.182
Other complications	4 ()	3 ()	1 ()	0.822
History of prosthetic device
Prior implant or TE	n = 200	n = 141	n = 59
Number of antibiotics	2.54 ± 0.60	2.78 ± 0.49	1.97 ± 0.41	<0.001
Complications
Any complication	25 (12.50)	23 (16.31)	2 (3.39)	0.012
Infection	9 (4.50)	8 (5.67)	1 (1.69)	0.216
Cellulitis	5 (2.50)	5 (3.55)	0 (0.00)	0.143
Other complications	6 (3.00)	5 (3.55)	1 (1.69)	0.484
No prior device	n = 54	n = 31	n = 23
Number of antibiotics	2.59 ± 0.50	2.90 ± 0.30	2.17 ± 0.39	<0.001
Complications
Any complication	12 (2.22)	5 (16.13)	7 (30.43)	0.211
Infection	9 (16.67)	3 (9.68)	6 (26.09)	0.110
Cellulitis	4 (7.41)	1 (3.23)	3 (13.04)	0.173
Other complications	4 (7.41)	1 (3.23)	3 (13.04)	0.173

RT: radiation therapy, ADM: acellular dermal matrix, TE: tissue expander. Bold values indicate statistical significance.