Methicillin-Resistant Staphylococcus aureus Infections May Not Impede the Success of Ultrasound-Guided Drainage of Puerperal Breast Abscesses

Chen, Chin Yau; Anderson, Benjamin O.; Lo, Su Shun; Lin, Chi; Chen, Huo Mu

doi:10.1016/j.jamcollsurg.2009.11.003

Cited by 25 publications

(25 citation statements)

References 10 publications

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“…A significant proportion of patients in our study required five or more drainage procedures, and some up to 17 prior to resolution, which is higher than has been found in other studies [23], [30], [31]. There was no association between MRSA infection and requirement for additional drainage procedures, which is consistent with findings in other investigations [14].…”

Section: Discussionsupporting

confidence: 91%

“…Multiple previous studies have demonstrated the safety and efficacy of ultrasound-guided needle drainage in the management of breast abscess [21], [22], [27], [28], [29], and that MRSA infections can be successfully treated with needle drainage [14]. Few patients (6/45) in our study required surgical incision and drainage for management, and only one required incision and drainage in the operating room, which is similar to rates in previous studies [23], [30].…”

Section: Discussionsupporting

confidence: 87%

“…Although breast abscess is a serious, uncommon complication of mastitis with high morbidity [13], [14], health services utilized by patients with these infections have been poorly characterized. Neither the clinical outcomes, such as milk fistula formation and rates of breastfeeding cessation, nor the attributable medical costs of these infections are known.…”

Section: Introductionmentioning

confidence: 99%

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Health and Economic Burden of Post-Partum Staphylococcus aureus Breast Abscess

et al. 2013

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ObjectivesTo determine the health and economic burdens of post-partum Staphylococcus aureus breast abscess.Study designWe conducted a matched cohort study (N = 216) in a population of pregnant women (N = 32,770) who delivered at our center during the study period from 10/1/03–9/30/10. Data were extracted from hospital databases, or via chart review if unavailable electronically. We compared cases of S. aureus breast abscess to controls matched by delivery date to compare health services utilization and mean attributable medical costs in 2012 United States dollars using Medicare and hospital-based estimates. We also evaluated whether resource utilization and health care costs differed between cases with methicillin-resistant and -susceptible S. aureus isolates.ResultsFifty-four cases of culture-confirmed post-partum S. aureus breast abscess were identified. Breastfeeding cessation (41%), milk fistula (11.1%) and hospital readmission (50%) occurred frequently among case patients. Breast abscess case patients had high rates of health services utilization compared to controls, including high rates of imaging and drainage procedures. The mean attributable cost of post-partum S. aureus breast abscess ranged from $2,340–$4,012, depending on the methods and data sources used. Mean attributable costs were not significantly higher among methicillin-resistant vs. –susceptible S. aureus cases.ConclusionsPost-partum S. aureus breast abscess is associated with worse health and economic outcomes for women and their infants, including high rates of breastfeeding cessation. Future study is needed to determine the optimal treatment and prevention of these infections.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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Health and Economic Burden of Post-Partum Staphylococcus aureus Breast Abscess

et al. 2013

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“…In addition, a study comparing ultrasound drainage in MSSA to MRSA found the MRSA group was more likely to undergo incision and drainage although the result did not reach a statistically significant difference. 49 This study found an overall higher rate of conversion to incision and drainage for both groups when compared with the Christensen study. Interestingly 38% of the MRSA group never received an antibiotic to which the organism was sensitive and the potential impact of this is unclear.…”

Section: Mastitis and Breast Abscessmentioning

confidence: 46%

Breast Pain

Berens¹

2015

Clinical Obstetrics &Amp; Gynecology

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“…MRSA may be a communityacquired organism and has been reported to be a frequent pathogen in cases of breast abscess in some communities, particularly in the United States and Taiwan. 21,23,24 (I, II-2) At this time, MRSA occurrence is low in other countries, such as the United Kingdom. 25 (I) Most strains of methicillinresistant staphylococci are susceptible to vancomycin or trimethoprim/sulfamethoxazole but may not be susceptible to rifampin.…”

Section: (Iii)mentioning

confidence: 99%

ABM Clinical Protocol #4: Mastitis, Revised March 2014

Amir

2014

Breastfeeding Medicine

165

173

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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.

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Methicillin-Resistant Staphylococcus aureus Infections May Not Impede the Success of Ultrasound-Guided Drainage of Puerperal Breast Abscesses

Cited by 25 publications

References 10 publications

Health and Economic Burden of Post-Partum Staphylococcus aureus Breast Abscess

Health and Economic Burden of Post-Partum Staphylococcus aureus Breast Abscess

Breast Pain

ABM Clinical Protocol #4: Mastitis, Revised March 2014

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