Although apparently uncommon, fungal contamination of saline-filled breast implants is promptly avertible. The basic steps are to use closed systems for filling the devices and to adhere to the strict moisture control and operating room ventilation standards in force at major hospitals. The hidden benefits of these provisions could be considerable. Besides, expanding numbers of non-surgeons are operating cosmetic breast surgery in outpatient clinics, ambulatory surgery centers, or physician offices, where the risk of complexity is specifically without precautions. Researchers found that sterile saline used to fill the implants was stored directly under a portion of ceiling sheetrock that had been water-damaged a few years before and was still muggy. The researchers isolated Curvularia from an air sample taken from the supply room. They also disclosed that air was flowing into the operating room associated with the contamination, rather than out of it as infection control guidelines stipulate. Additionally, sterile saline was poured into a bowl in the operating room before the patient arrived and left exposed to the air until it was drawn into a syringe and injected into the implants. Ambulatory or outpatient surgical centers need to follow hospital recommendations for regular maintenance of HVAC systems and balancing of airflow in operating rooms, follow infection control guidelines and include infection control staff in all moment of planning, construction, or renovation of healthcare facilities and HVAC systems. Experts also suggested that, operating rooms be retained at positive airflow pressure and that surgeons should always use closed systems to fill breast implants.

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