The Absence of<i>Candida albicans</i>in Milk Samples of Women with Clinical Symptoms of Ductal Candidiasis

Hale, Thomas W.; Bateman, Tiffany L.; Finkelman, Malcolm; Berens, Pamela D.

doi:10.1089/bfm.2008.0144

Cited by 46 publications

(74 citation statements)

References 17 publications

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“…[35][36][37] (I) A recent investigation of women with these typical symptoms, using breastmilk cultures after cleansing the nipples, found that none of the 35 cultures from the control group of women grew Candida, whereas only one of 29 in the symptomatic group grew the organism. 38 (I) There was also no significant difference in the measurement of a by-product of Candida growth [(1,3)b-d-glucan] between groups. 38 Yet, evidence is conflicting as another recent study on milk culture found that 30% of symptomatic mothers were positive for Candida, whereas 8% of women in the asymptomatic group grew the organism.…”

Section: Candida Infectionmentioning

confidence: 90%

“…38 (I) There was also no significant difference in the measurement of a by-product of Candida growth [(1,3)b-d-glucan] between groups. 38 Yet, evidence is conflicting as another recent study on milk culture found that 30% of symptomatic mothers were positive for Candida, whereas 8% of women in the asymptomatic group grew the organism. 39 (I) Women with burning nipple and breast pain may also be more likely to test positive for Candida on nipple swab by polymerase chain reaction.…”

Section: Candida Infectionmentioning

confidence: 90%

See 1 more Smart Citation

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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Section: Candida Infectionmentioning

confidence: 90%

Section: Candida Infectionmentioning

confidence: 90%

ABM Clinical Protocol #4: Mastitis, Revised March 2014

Amir

2014

Breastfeeding Medicine

165

173

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show abstract

“…38,39 No obstante, con medios de detección adecuados, se siguen diagnosticando cándidas en algunos casos de dolor de pecho crónico o punzante. 21,38 Los principales factores de riesgo son vaginitis por cándidas periparto, grietas del pezón, corticoterapia o antibioterapia de amplio espectro en el parto o posparto, diabetes materna y candidiasis oral o en la zona del pañal del lactante.…”

Section: Mastitis Por Cándidasunclassified

“…28,39,48 Se ha aislado esta bacteria en la leche del 20% de mujeres con dolor crónico de pecho frente al 2% en la leche de los controles y se ha constatado la mejoría clínica con antibióticos. 7 Varios autores no encontraron relación entre SCN y el dolor crónico de pecho.…”

Section: Dolor Del Pezón Y Del Pechounclassified

Mastitis. Puesta al día

2016

Arch Argent Pediat

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RESUMENLa mastitis es una de las principales causas de abandono evitable de la lactancia materna, con el aumento de la morbimortalidad infantil que ello supone, pero no hay uniformidad en los criterios diagnósticos ni terapéuticos. El diagnóstico de la mastitis aguda es fundamentalmente clínico, y, solo en determinados casos, está indicado el cultivo de leche. El drenaje del pecho es fundamental en el tratamiento, por lo que debe mantenerse la lactancia. Si persisten los síntomas o si existe mucha repercusión clínica, se iniciará la antibioterapia. No hay pruebas suficientes de la etiopatogenia de otros tipos de mastitis (subclínica y subaguda) ni de que sean responsables del dolor mamario o el escaso aumento ponderal del lactante. Tampoco sobre la efectividad de los probióticos en el tratamiento y prevención de la mastitis. El objetivo es realizar una evaluación de la información disponible sobre la clínica, diagnóstico y tratamiento de las mastitis para ofrecer una visión actualizada del tema. Palabras clave: mastitis aguda, mastitis subaguda, probióticos, mastodinia. ABSTRACTMastitis is one of the main causes of avoidable cessation of breastfeeding which increases morbidity in childhood, however, there is no uniformity in diagnostic and therapeutic criteria. The diagnosis of acute mastitis is mainly clinical. Only in certain cases, a milk culture is indicated. Regarding treatment of mastitis, it is fundamental to empty the breast, so breastfeeding should continue. It is recommended to start antibiotic therapy if symptoms persist or if there is considerable clinical impact. There is insufficient evidence of the importance of other types of mastitis (subclinical and subacute). There is also a lack of evidence that these types of mastitis are responsible for breast pain or for low infant weight gain. Furthermore, there is not enough evidence regarding the effectiveness of probiotics in the treatment and prevention of mastitis.The aim of this article is to review the available information related to clinical signs, diagnosis and management of acute mastitis in order to give an updated overview.

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“…Although it is generally accepted that acute mastitis may be caused by infections, an infectious etiology for chronic pain remains controversial. [5][6][7][8][9] Historically, many women received treatment with antifungal agents for presumed yeast infections. 7 In contrast, more recent studies have focused on a potential bacterial etiology.…”

Section: Introductionmentioning

confidence: 99%