The Centers for Disease Control and Prevention (CDC)wound classification system considers breast surgery as "clean." The Surgical Site Infection (SSI)rate for clean surgical procedures is projected to be less than 2%.Olsen (2015)looked at the SSI rate for mastectomies performed between 2004 and 2011.What key information impacts the perioperative team?

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Of 18,696 mastectomies performed in 2004 to 2011,the SSI rate was 8.1%.Of those,mastectomy SSI rate was 5%,mastectomy with implants SSI rate was 10.3%,mastectomy with flap SSI rate was 10.7%,and of mastectomy with flap and implant the SSI rate was 10.3%.Infections can increase costs,cause psychological and emotional trauma,result in poor cosmetic results and delay adjuvant therapies.The findings of the above studies remind the perioperative team that SSI after breast cancer surgery is higher than the expected clean classification.

The Centers for Disease Control and Prevention (CDC)wound Classification System