Management of Lactational Mastitis and Breast Abscesses: Review of Current Knowledge and Practice

A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient.

show abstract

“…Photographs of breast abscesses and percutaneous aspiration can be found in a 2013 review by Kataria et al 34 …”

Section: Abscessmentioning

confidence: 99%

ABM Clinical Protocol #4: Mastitis, Revised March 2014

Amir

2014

Breastfeeding Medicine

165

173

View full text Add to dashboard Cite

show abstract

“…9 Staphylococcus aureus commonly causes breast abscess, followed by coagulase-negative Staphylococcus epidermidis, Streptococcus viridians, Streptococcus pyogenes, and anaerobes such as Pepto streptococcus and Bacteroides. [1][2][3][4][5][6][7][8][9][10] In India, abscesses can occur due to typhoid, tuberculosis, other mycobacteria, and parasites. [1][2][3] Lactational breast abscess may occur due to polymicrobial infections.…”

mentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10] In India, abscesses can occur due to typhoid, tuberculosis, other mycobacteria, and parasites. [1][2][3] Lactational breast abscess may occur due to polymicrobial infections. 8 These bacterial agents can arise any place from the nasopharynx of the baby to the skin of the mother.…”

mentioning

confidence: 99%

Analysis of the microbial flora in breast abscess: a retrospective cohort study conducted in the emergency department

et al. 2017

View full text Add to dashboard Cite

Background: Breast abscess develops as a complication of lactational mastitis. Recently, there is an increase in the incidence of non-lactational breast abscess. The aim of the study was to analyse the microbial flora in the lactational and non-lactational breast abscess in the ED and to elucidate the susceptibility of flora to different antibiotics.Methods: This is a retrospective cohort study of breast abscess patients registered in the ED over two years. The case records of these patients were retrieved, and the details of their age, clinical presentation, investigation, and treatment were recorded. Specifically, the pus culture sensitivity and antibiotics used in the management of these patients were noted, and the pattern of microbiological flora analyzed.Results: A total of 124 patients were included in the study, with 97 women were categorized into lactational breast abscess, and 27 women were classified as a non-lactational breast abscess. Mean age was 24 years of age (Range 18 to 56 years). The majority of the women were young between 18 and 34 years of age (83%). The culture was grown in 92% of the patient pus specimens. Staphylococcus aureus (83%) was common organisms cultured in lactational breast abscess. Mixed Flora including Staphylococcus aureus and Group B Streptococci were grown in non-lactational breast abscess.Conclusions: Appropriate antibiotic choices are of immense importance in the management of breast abscess. Mixed flora is common in non - lactational breast abscess when compared with a lactational breast abscess. Staphylococcus Aureus is the most common isolate in both groups.

show abstract

“…[4,5] Non-lactational abscesses can be classified as central, peripheral or skin associated. [6] Patients with non-lactational abscesses, diabetics and smokers are likely to develop recurrent infections. Central (Periareolar) non-lactational abscesses are usually due to periductal mastitis.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Needle Aspiration: A Prospective Study of 100 Cases

Sawai¹,

Bhuvan²,

K³

et al. 2016

jemds

View full text Add to dashboard Cite

Breast abscess is defined as an acute soft tissue infection which is characterized by localized pain, swelling and redness associated with a mass that may or may not be fluctuant. [1,2] Most breast abscesses develop as a complication of lactational mastitis. OBJECTIVES OF STUDYTo assess the feasibility and effectiveness of percutaneous needle aspiration of breast abscesses as a day care procedure. METHOD AND METHODOLOGYThis prospective study was conducted in patients with breast abscess attending the surgical OPD of a tertiary centre. A total of 100 patients with breast abscess giving consent to participate in study were included in the study. Percutaneous needle aspiration of pus under local anaesthesia was done with 18/16G needle. Empirical antibiotic therapy with amoxicillin+clavulanic acid was started. Aspirated pus was sent for bacteriological study. The antibiotics were changed in accordance to sensitivity report if needed. RESULTSThe mean age of the patients was 28.11 years and youngest patient was of 17 years married female. Most of the patients were lactating female in age group of 25-30 years followed by age group of 20-25 years. Topographically, most breast abscess were located in upper outer quadrant in 38 patients followed by 32 patients having abscess in central region. The mean volume of pus on ultrasonography was 57.32 mL and mean volume of pus on aspiration was 45.75 mL. The mean number of aspiration was 2.18. All of the aspirated pus was sent for culture and sensitivity. Among these, 12 samples of pus were sterile and 88 samples showed growth of organism. CONCLUSIONWith appreciable cure rate by repeated needle aspiration, this method can be preferred as treatment of breast abscess in selected patients.

show abstract

Management of Lactational Mastitis and Breast Abscesses: Review of Current Knowledge and Practice

Cited by 70 publications

References 24 publications

ABM Clinical Protocol #4: Mastitis, Revised March 2014

ABM Clinical Protocol #4: Mastitis, Revised March 2014

Analysis of the microbial flora in breast abscess: a retrospective cohort study conducted in the emergency department

Percutaneous Needle Aspiration: A Prospective Study of 100 Cases

Contact Info

Product

Resources

About