Mastitis in early infancy

Navratil, Francesca; Stricker, Tamar; Sennhauser, FH

doi:10.1080/08035250410022576

Cited by 3 publications

(4 citation statements)

References 18 publications

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“…Stricker[3] studied 18 infants aged 12-45 days with mastitis, including patients with systemic manifestations; 12 developed breast abscess including 5 who had been pretreated with oral antibiotics. Blood culture was performed in only two patients and was negative in both cases.…”

Section: Discussionmentioning

confidence: 99%

“…[3] However, the results of culture can be useful subsequently if the patient's condition fails to improve or worsens.…”

Section: Discussionmentioning

confidence: 99%

“…[1] This is thought to be related to the longer duration of physiologic breast hypertrophy in female infants. [1] The majority of cases of neonatal mastitis are caused by Staphylococcus aureus ;[1234] less common causes include gram-negative enteric organisms (e.g. Escherichia coli, Salmonella ), anaerobes, and Group B Streptococcus .…”

Section: Introductionmentioning

confidence: 99%

“…Escherichia coli, Salmonella ), anaerobes, and Group B Streptococcus . [1234] Clinically, infants usually present with unilateral swelling, erythema, warmth, tenderness, and induration of the breast, occasionally with purulent discharge from the nipple, and/or fluctuation suggesting breast abscess. Mastitis in infancy is usually a local infection, and systemic symptoms such as fever, vomiting, lethargy, and irritability are uncommon.…”

Section: Introductionmentioning

confidence: 99%

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Neonatal mastitis: Controversies in management

Ruwaili

Scolnik

2012

J Clin Neonatol

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Objective:To document the range of presentations, extent of investigations, and treatment choices of ‘physicians treating’ neonates with mastitis seen over a 9-year period at a tertiary care pediatric hospital.Materials and Methods:An email survey was sent to Emergency Department (ED) staff and fellows asking them how they would treat a well-looking neonate with localized mastitis. Secondly, a retrospective chart review of neonates presenting to the ED with a diagnosis of neonatal mastitis or breast engorgement from July 2000 to December 2009 was conducted to assess how such patients were actually treated.Results:46/107 surveys were returned, with a wide discrepancy in how clinicians would treat neonatal mastitis: 4.3% would perform a full sepsis work up, including lumbar puncture, followed by IV antibiotics and hospital admission; 28% chose discharge on oral antibiotics; and 28% suggested admission only if blood work was abnormal. From the chart review, 33 neonates were diagnosed with possible neonatal mastitis over a 9-year period: 12 met the inclusion criteria. Of these, 8 (66%) were admitted and treated with intravenous antibiotics, 2 (16.6%) were treated with oral antibiotics, and 2 (16.6%) did not receive antibiotics. None of the 12 patients had lumbar puncture performed.Conclusion:There is significant disagreement among clinicians regarding the best way to treat the well-looking neonate with localized mastitis. Most elect to perform blood tests and start treatment with IV antibiotics with good Staphylococcus aureus coverage, followed by oral antibiotics if cultures are negative.

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Section: Discussionmentioning

confidence: 99%

“…[3] However, the results of culture can be useful subsequently if the patient's condition fails to improve or worsens.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Neonatal mastitis: Controversies in management

Ruwaili

Scolnik

2012

J Clin Neonatol

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Evaluation and Treatment of Mastitis in Infants

Montague¹,

Hilinski

Andresen

et al. 2013

Pediatric Infectious Disease Journal

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We reviewed cases of mastitis in infants treated at Children's Healthcare of Atlanta from 2005 to 2011. Among infants with breast cultures, Staphylococcus aureus was the most common cause. No infant with a positive breast culture had a concordant positive culture elsewhere. Our findings argue that urine, blood and spinal fluid cultures are unnecessary in well-appearing afebrile infants with mastitis.

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