Table 2.

Study Characteristics—Clinical Outcomes

Author paperIrrigation typesAntibiotic agentAntiseptic concentrationCapsular contracture rateInfection rateReoperation rate
Adams et al12Antibiotic with or without antisepticCefazolin, gentamicin, with or without bacitracin10% povidone-iodine4%1%6%
Blount et al23Antibiotic, povidone-iodine, no irrigationBacitracin with or without cefazolin and gentamicin5% povidone-iodine3%1%18%
0% (antibiotic), 4% (no antibiotics)8% (antibiotic), 23% (no antibiotic)
Burkhardt and Demas29Povidone-iodine, salineNA5% povidone-iodine21%7%2%
18% (povidone-iodine), 24% (saline)2% (povidone-iodine), 2% (saline)
Burkhardt and Eades30Povidone-iodine, salineNA5% povidone-iodine18%6%3%
10% (povidone-iodine), 27% (saline)
Burkhardt et al10Antibiotic steroid foam,a povidone-iodine, salineBacitracin, oxacillin5% povidone-iodine23%7%9%
14% (antibiotic), 18% (povidone-iodine), 33% (saline)
Calobrace et al31Antibiotic (with or without steroids),a povidone-iodineBacitracin, cefazolin, gentamicinNot reported7%Not reportedNot reported
8% (antibiotic), 5% (povidone-iodine)
Drinane et al26Antibiotic, salineBacitracin, cefazolin, gentamicinNA4%
4% (antibiotic), 4% (saline)
Not reportedNot reported
Giordano et al24Antibiotic with antiseptic, no irrigationCefuroxime, gentamicin4% povidone-iodine3%2%4%
1% (antibiotic with antiseptic), 6% (no irrigation)1% (antibiotic with antiseptic), 2% (no irrigation)2% (antibiotic with antiseptic), 7% (no irrigation)
Hunsicker et al27Antibiotic, continuous antibiotic irrigationaBacitracin, gentamicin, vancomycinNANot reported7%Not reported
Kenna et al28Antibiotic, antibiotic beadsaBacitracin, cefazoline, gentamicinNANot reported6%6%
Kim32AntibioticCefazolinNA1%0%2%
Pfeiffer et al22Antibiotic, salineCephalothinNA7%10%2%
6% (antibiotic), 8% (saline)7% (antibiotic), 13% (saline)1% (antibiotic), 3% (saline)
Tutela et al25Antibiotic, continuous antibiotic irrigationaBacitracin, cefazolin, gentamicinNA15%Not reported13%
Wiener21Povidone-iodine, salineNA5% povidone-iodine2%0%1%
1% (povidone-iodine), 4% (saline)1% (povidone-iodine), 2% (saline)
Author paperIrrigation typesAntibiotic agentAntiseptic concentrationCapsular contracture rateInfection rateReoperation rate
Adams et al12Antibiotic with or without antisepticCefazolin, gentamicin, with or without bacitracin10% povidone-iodine4%1%6%
Blount et al23Antibiotic, povidone-iodine, no irrigationBacitracin with or without cefazolin and gentamicin5% povidone-iodine3%1%18%
0% (antibiotic), 4% (no antibiotics)8% (antibiotic), 23% (no antibiotic)
Burkhardt and Demas29Povidone-iodine, salineNA5% povidone-iodine21%7%2%
18% (povidone-iodine), 24% (saline)2% (povidone-iodine), 2% (saline)
Burkhardt and Eades30Povidone-iodine, salineNA5% povidone-iodine18%6%3%
10% (povidone-iodine), 27% (saline)
Burkhardt et al10Antibiotic steroid foam,a povidone-iodine, salineBacitracin, oxacillin5% povidone-iodine23%7%9%
14% (antibiotic), 18% (povidone-iodine), 33% (saline)
Calobrace et al31Antibiotic (with or without steroids),a povidone-iodineBacitracin, cefazolin, gentamicinNot reported7%Not reportedNot reported
8% (antibiotic), 5% (povidone-iodine)
Drinane et al26Antibiotic, salineBacitracin, cefazolin, gentamicinNA4%
4% (antibiotic), 4% (saline)
Not reportedNot reported
Giordano et al24Antibiotic with antiseptic, no irrigationCefuroxime, gentamicin4% povidone-iodine3%2%4%
1% (antibiotic with antiseptic), 6% (no irrigation)1% (antibiotic with antiseptic), 2% (no irrigation)2% (antibiotic with antiseptic), 7% (no irrigation)
Hunsicker et al27Antibiotic, continuous antibiotic irrigationaBacitracin, gentamicin, vancomycinNANot reported7%Not reported
Kenna et al28Antibiotic, antibiotic beadsaBacitracin, cefazoline, gentamicinNANot reported6%6%
Kim32AntibioticCefazolinNA1%0%2%
Pfeiffer et al22Antibiotic, salineCephalothinNA7%10%2%
6% (antibiotic), 8% (saline)7% (antibiotic), 13% (saline)1% (antibiotic), 3% (saline)
Tutela et al25Antibiotic, continuous antibiotic irrigationaBacitracin, cefazolin, gentamicinNA15%Not reported13%
Wiener21Povidone-iodine, salineNA5% povidone-iodine2%0%1%
1% (povidone-iodine), 4% (saline)1% (povidone-iodine), 2% (saline)

NA, not available. aSpecialized antibiotic regimens.

Table 2.

Study Characteristics—Clinical Outcomes

Author paperIrrigation typesAntibiotic agentAntiseptic concentrationCapsular contracture rateInfection rateReoperation rate
Adams et al12Antibiotic with or without antisepticCefazolin, gentamicin, with or without bacitracin10% povidone-iodine4%1%6%
Blount et al23Antibiotic, povidone-iodine, no irrigationBacitracin with or without cefazolin and gentamicin5% povidone-iodine3%1%18%
0% (antibiotic), 4% (no antibiotics)8% (antibiotic), 23% (no antibiotic)
Burkhardt and Demas29Povidone-iodine, salineNA5% povidone-iodine21%7%2%
18% (povidone-iodine), 24% (saline)2% (povidone-iodine), 2% (saline)
Burkhardt and Eades30Povidone-iodine, salineNA5% povidone-iodine18%6%3%
10% (povidone-iodine), 27% (saline)
Burkhardt et al10Antibiotic steroid foam,a povidone-iodine, salineBacitracin, oxacillin5% povidone-iodine23%7%9%
14% (antibiotic), 18% (povidone-iodine), 33% (saline)
Calobrace et al31Antibiotic (with or without steroids),a povidone-iodineBacitracin, cefazolin, gentamicinNot reported7%Not reportedNot reported
8% (antibiotic), 5% (povidone-iodine)
Drinane et al26Antibiotic, salineBacitracin, cefazolin, gentamicinNA4%
4% (antibiotic), 4% (saline)
Not reportedNot reported
Giordano et al24Antibiotic with antiseptic, no irrigationCefuroxime, gentamicin4% povidone-iodine3%2%4%
1% (antibiotic with antiseptic), 6% (no irrigation)1% (antibiotic with antiseptic), 2% (no irrigation)2% (antibiotic with antiseptic), 7% (no irrigation)
Hunsicker et al27Antibiotic, continuous antibiotic irrigationaBacitracin, gentamicin, vancomycinNANot reported7%Not reported
Kenna et al28Antibiotic, antibiotic beadsaBacitracin, cefazoline, gentamicinNANot reported6%6%
Kim32AntibioticCefazolinNA1%0%2%
Pfeiffer et al22Antibiotic, salineCephalothinNA7%10%2%
6% (antibiotic), 8% (saline)7% (antibiotic), 13% (saline)1% (antibiotic), 3% (saline)
Tutela et al25Antibiotic, continuous antibiotic irrigationaBacitracin, cefazolin, gentamicinNA15%Not reported13%
Wiener21Povidone-iodine, salineNA5% povidone-iodine2%0%1%
1% (povidone-iodine), 4% (saline)1% (povidone-iodine), 2% (saline)
Author paperIrrigation typesAntibiotic agentAntiseptic concentrationCapsular contracture rateInfection rateReoperation rate
Adams et al12Antibiotic with or without antisepticCefazolin, gentamicin, with or without bacitracin10% povidone-iodine4%1%6%
Blount et al23Antibiotic, povidone-iodine, no irrigationBacitracin with or without cefazolin and gentamicin5% povidone-iodine3%1%18%
0% (antibiotic), 4% (no antibiotics)8% (antibiotic), 23% (no antibiotic)
Burkhardt and Demas29Povidone-iodine, salineNA5% povidone-iodine21%7%2%
18% (povidone-iodine), 24% (saline)2% (povidone-iodine), 2% (saline)
Burkhardt and Eades30Povidone-iodine, salineNA5% povidone-iodine18%6%3%
10% (povidone-iodine), 27% (saline)
Burkhardt et al10Antibiotic steroid foam,a povidone-iodine, salineBacitracin, oxacillin5% povidone-iodine23%7%9%
14% (antibiotic), 18% (povidone-iodine), 33% (saline)
Calobrace et al31Antibiotic (with or without steroids),a povidone-iodineBacitracin, cefazolin, gentamicinNot reported7%Not reportedNot reported
8% (antibiotic), 5% (povidone-iodine)
Drinane et al26Antibiotic, salineBacitracin, cefazolin, gentamicinNA4%
4% (antibiotic), 4% (saline)
Not reportedNot reported
Giordano et al24Antibiotic with antiseptic, no irrigationCefuroxime, gentamicin4% povidone-iodine3%2%4%
1% (antibiotic with antiseptic), 6% (no irrigation)1% (antibiotic with antiseptic), 2% (no irrigation)2% (antibiotic with antiseptic), 7% (no irrigation)
Hunsicker et al27Antibiotic, continuous antibiotic irrigationaBacitracin, gentamicin, vancomycinNANot reported7%Not reported
Kenna et al28Antibiotic, antibiotic beadsaBacitracin, cefazoline, gentamicinNANot reported6%6%
Kim32AntibioticCefazolinNA1%0%2%
Pfeiffer et al22Antibiotic, salineCephalothinNA7%10%2%
6% (antibiotic), 8% (saline)7% (antibiotic), 13% (saline)1% (antibiotic), 3% (saline)
Tutela et al25Antibiotic, continuous antibiotic irrigationaBacitracin, cefazolin, gentamicinNA15%Not reported13%
Wiener21Povidone-iodine, salineNA5% povidone-iodine2%0%1%
1% (povidone-iodine), 4% (saline)1% (povidone-iodine), 2% (saline)

NA, not available. aSpecialized antibiotic regimens.

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