Christina GarusiVisnu LohsiriwatIstituto Europeo di OncologiaMahidol University2018-10-192018-10-192013-01-01Oncoplastic and Reconstructive Breast Surgery. (2013), 315-3202-s2.0-84956726027https://repository.li.mahidol.ac.th/handle/20.500.14594/32649© Springer-Verlag Italia 2013. The salvage of the infected and or exposed breast prosthesis remains a challenging but viable option for a subset of patients. Keys to success include culture-directed antibiotics, capsulectomy, device exchange, and adequate soft tissue coverage. Relative contraindications to breast device salvage include atypical pathogens on wound culture, such as Gram-negative rods, methicillin-resistant <Emphasis Type=–Italic—>Staphylococcus aureus</Emphasis>, and <Emphasis Type=–Italic—>Candida parapsilosis</Emphasis>. Patients with a prior device infection and exposure and a history of either radiotherapy or <Emphasis Type=–Italic—>S. aureus</Emphasis> on wound culture should be closely monitored for signs of recurrent breast prosthesis infection/exposure and managed cautiously in the setting of elective breast surgery.Mahidol UniversityMedicineChapterSCOPUS10.1007/978-88-470-2652-0_32