Best Medication for Pseudomonas Due to Breast Implants?

Presumably, your breast implants are out already. the prognosis for breast implants with an active infection is poor, since the implants and the tissue surrounding them has no natural defenses. Infections treated "halfway" for a long period of time lead to scarred and deformed breasts that cannot be fixed by any technique. Since you know the problem is due to Pseudomonas aeruginosa, you will already have obtained culture results from the laboratory; these sensitivities will... more

Please see Dr. Williams excellent summary of the pharmacology and potential antibiotic use for this infection. To me, I would need to know if the implants are in or out. If they are in and you have a pseudomonas infection of the implant, the implant will need to come out. Antibiotics won't cure it. If they are already out, make sure the pocket is well drained and use an antibiotic culture specific for the infection. Good luck!

Thanks for your question - Breast implant infections are serious and can require oral antibiotics, IV antibiotics or additional surgery including removing the implants. Implants of course themselves do not cause Pseudomonas infection but can become colonized with the bacteria. Implants (breast and otherwise) require particular attention to suspected infection because as a foreign material they are significantly more susceptible to infection than your normal tissue. Ciprofloxacin (INN) is a... more

If you have an implant infection, then I would suggest seeing your doctor and having your implants removed. You may need to be hospitalized for IV antibiotics based upon the cultures results.

To nurse101, Hi. This sounds serious. We all get an occasional infected implant, unfortunately. As soon as I have any suspicion that an implant might be infected, I bring in an infectious diseases consultant to help me manage the patient. There is too much at stake, and too many antibiotics (and other treatments) for a plastic surgeon to be an expert on. If you have an implant really infected with Pseudomonas, the main treatment is not antibiotics. 1)The implant needs to be removed. 2)... more

If you have pseudomonas infecting your implants, you should have the implants removed or the antibiotic will likely be ineffective. If the infection is arrested, you will likely have significant contractures. A consultation with an infection doctor would be stoungly urged.

Some physicians would argue that the best treatment for a breast implant infection is to remove it and allow the soft tissues to heal and infection to resolve followed by delayed insertion of a new implant 4-6 months later. After I did a brief review of the literature, it appears that they are considered roughly equivalent in treatment. However, there are several issues that need to be addressed. The most important factor is to culture the specimens and perform studies that will reveal the... more