ePlasty: Vol. 14
A Systematic Review of Infection Rates and Associated Antibiotic Duration in Acellular Dermal Matrix Breast Reconstruction
Brett T. Phillips, MD, MBA,a Muath Bishawi, MD, MPH,b Alexander B. Dagum, MD,c Duc T. Bui, MD,c and Sami U. Khan, MDc

aDivision of Plastic, Maxillofacial, & Oral Surgery and; bDivision of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Durham, NC; and cDivision of Plastic and Reconstructive Surgery, Stony Brook University Hospital, Stony Brook University School of Medicine, Stony Brook, NY


Correspondence: brett.phillips@duke.edu
Keywords: breast reconstruction, acellular dermal matrix, ADM, infection, antibiotics

Introduction: Reported infection rates in breast reconstruction with acellular dermal matrix (ADM) can exceed 31%. Prophylactic antibiotics remain controversial due to the absence of evidence-based literature. The purpose of this study was to examine published antibiotic regimens and their associated infection rates in this population. Methods: Systematic electronic searches were performed in PubMed, OVID, and the Cochrane databases for studies that reported on prophylactic antibiotic use and infection in patients undergoing ADM breast reconstruction. Two independent authors re .......