A Prospective Study of the Microflora of Nonpuerperal Breast Abscess

Walker, Alonzo P.; Edmiston, Charles E.; Krepel, Candace J.; Condon, Robert E.

doi:10.1001/archsurg.1988.01400310122021

Cited by 38 publications

(19 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…S. pyogenes which was present in only 2 (6.7%) patients and those were in the incised group. Similar finding has been reported by Singh et al and Elagili et al 19,20 The findings of mixed flora with anaerobes in non-lactational breast abscess, similar to findings of Walker et al 21 The mean time required for both the procedures was assessed. From the results it was observed that patients undergoing aspiration required 6.63 minutes which was significantly less as compared to the mean time required for the procedure for patients undergoing incision and drainage, which was 18.87 minutes confirming that needle aspiration is very feasible, simple procedure and can be performed without any imaging guidance.…”

Section: Discussionsupporting

confidence: 88%

Comparison between aspiration and incision and drainage of breast abscess

et al. 2016

View full text Add to dashboard Cite

INTRODUCTIONBreast abscess is one of the commonest form of abscess surgical emergencies usually seen in lactating woman. 1,2 The frequency of occurrence is highly related to pregnancy and mainly caused due to nipple piercing by a child during feeding and bacterial colonization due to improper nursing technique and incomplete emptying of the breast.3,4 Immediate diagnosis and treatment is necessary if breast feeding is to be continued and for the prevention of further complications. 5Treatment of breast abscesses is a difficult clinical problem. 6 At an early stage, acute mastitis may be treated ABSTRACTBackground: Breast abscess is defined as an acute inflammatory lump which yields pus on incision/aspiration. The frequency of occurrence is highly related to pregnancy and caused due to nipple piercing by a child during feeding and bacterial colonization due to improper nursing technique and incomplete emptying of the breast. Non-lactational breast abscesses are entirely different from those occurring during breast feeding. They occur in the peri-areolar tissues, frequently recur, and infecting organisms are mixture of anaerobes. The present study compares the outcome and effectiveness of traditional treatment incision and drainage against needle aspiration in the treatment of breast abscess.Methods: This is a comparative study carried out in department of general surgery in a tertiary health care center, LTMMH and GH, Mumbai for a period of 2 years (May 2012 -May 2014) after taking approval from institutional ethics committee. 60 female patients of age between 18-65 years and diagnosed breast abscess with abscess size of less than 10 cm in diameter on ultrasonography were included in the study after taking written consent form. Of these 30 had undergone aspiration of the breast abscess (group A) and 30 had undergone incision and drainage of the breast abscess (group B). Results:The mean age of the female patients in the study were 18-42 years. 90% of the cases were lactating. S. aureus was the common organism isolated in both lactating and non-lactating cases, encountered in 34 patients (57.7%). Out of that 20 were in the aspirated group (66.7%). 14 patients were in the incised group (46.7%). The mean healing time and cosmetic outcome was significantly (p = 0.001) very good in patients treated with needle aspiration compared to incision and drainage. There was no recurrence of breast abscess observed in needle aspiration group during the study. There was 3.3% recurrence rate observed in the incision and drainage group. Conclusions: Breast abscess in patients with diameter of less than 7 cm can be treated with needle aspiration successfully and with a good cosmetic outcome.

show abstract

Section: Discussionsupporting

confidence: 88%

Comparison between aspiration and incision and drainage of breast abscess

et al. 2016

View full text Add to dashboard Cite

show abstract

“…The possible explanation could be that Poor hygiene leads to colonization of the skin of nipple and areola in turn leading to colonization of the ductal tissue. In contrast to the Walker et al study [22], we did not observe much of a mixed flora grown in the cultures of the ductal tissue.…”

Section: Penicillin Rifampicin Linezolid Amoxicillin+ Sulbactam Cefoxcontrasting

confidence: 99%

Duct Ectasia and Periductal Mastitis in Indian Women

et al. 2014

View full text Add to dashboard Cite

There is very little awareness of the general physicians and surgeons about the benign breast conditions such as duct ectasia (DE) and periductal mastitis (PDM) causing nipple discharge. Not only that these benign breast diseases ring a false alarm of cancer, they are also the second most common cause of benign breast diseases. The objective was to study the clinical and microbiological profiles of duct ectasia and periductal mastitis in Indian women for better understanding of the disease process, in order to be able to treat them well. Forty-one consecutive patients presenting to the Surgical Out-Patient Department with non-bloody nipple discharge with clinical and radiological features suggestive of DE or PDM were included. Microbial culture and cytopathological study of the nipple discharge were done. Histopathological studies and culture of the ductal tissue taken intraoperatively were carried out. There is no significant difference in the age distribution among women with DE and PDM. Smoking is not associated with DE and PDM of Indian patients in contrast to the Western literature evidence. Infective etiology was present in nearly 46 % of the patients in the study population more so in the periductal mastitis cases. The most common isolated pathogens were Staphylococcus aureus and Staphylococcus epidermidis, unlike in Western population where nearly 50 % were anaerobes. Since the isolated organisms were resistant to the routinely used antibiotics in high proportion of cases, culture and sensitivity should be done in all possible cases for appropriately treating the subareolar sepsis before proceeding with the definitive treatment in the form of duct excision.

show abstract

“…To increase the success rate of acute bacterial mastitis and minimally invasive drainage techniques with adjunctive antimicrobial drug therapy, knowledge about the type of pathogens responsible for breast abscesses and their re-sistance patterns may help the surgeon to choose the correct empirical treatment. The bacteriology of breast abscesses has been studied in the past, identifying Staphylococcus aureus as the predominant bacterial isolate [6,7] .…”

Section: Introductionmentioning

confidence: 99%

A Study of the Microbiology of Breast Abscess in a Teaching Hospital in Kuwait

Benwan¹,

Mulla

Rotimi

2011

Med Princ Pract

View full text Add to dashboard Cite

Objectives: To determine the microbiological profile of breast abscess and assess the antibiotic susceptibility of the causative agents. Materials and Methods: Data obtained from cases of breast abscess over a period of 3.5 years, June 2006 to December 2009, were retrospectively analyzed. Specimens were cultured using optimal aerobic and anaerobic microbiological techniques. The antibiotic susceptibility test was carried out using the methods recommended by the Clinical and Laboratory Standards Institute. One specimen per patient was analyzed. Results: Of the 114 patients, 107 (93.8%) non-lactating and 7 (6.1%) lactating women were diagnosed with breast abscess during this period. Of the 114 specimens, 83 (73%) yielded bacterial growth. Of these, 115 pathogens were isolated with an average of 1.4 pathogens per abscess. Eighteen (22%) of the 83 specimens yielded mixed bacterial growth. There were more Gram-positive pathogens (60, 52%) than anaerobes (32, 28%) and Gram-negative pathogens (22, 19%). The predominant organisms were methicillin-susceptible Staphylococcus aureus (37, 32%), methicillin-resistant S. aureus (MRSA; 11, 10%), Bacteroides spp. (16, 14%), anaerobic streptococci (14, 12%) and Pseudomonas aeruginosa (9, 8%). Of the 48 S. aureus, MRSA accounted for 11 (23%). All MRSA isolates were susceptible to trimethoprim-sulfamethoxazole and vancomycin. Conclusion:S. aureus was the most common pathogenic organism isolated in breast abscesses at Al-Amiri Hospital, Kuwait, of which 23% were MRSA. Nearly a third of the cases were caused by anaerobes, particularly B. fragilis. The data present a basis for the formation of empirical antimicrobial therapeutic policy in the management of breast abscess.

show abstract

A Prospective Study of the Microflora of Nonpuerperal Breast Abscess

Cited by 38 publications

References 16 publications

Comparison between aspiration and incision and drainage of breast abscess

Comparison between aspiration and incision and drainage of breast abscess

Duct Ectasia and Periductal Mastitis in Indian Women

A Study of the Microbiology of Breast Abscess in a Teaching Hospital in Kuwait

Contact Info

Product

Resources

About