Treatment of Breast Abscesses with Penicillin

Florey, M. E.; MacVine, J. S.; Bigby, Mary A. M.

doi:10.1136/bmj.2.4483.845

Cited by 14 publications

(3 citation statements)

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“…In 1946, Florey et al [8] first considered the possibility of daily aspiration of small abscesses and direct injection of penicillin soon after the drug became available at the end of World War II. Apparently both techniques fell into disuse shortly thereafter.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Breast Abscesses with Sonographically Guided Aspiration, Irrigation, and Instillation of Antibiotics

Leborgne

2003

American Journal of Roentgenology

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Section: Discussionmentioning

confidence: 99%

Treatment of Breast Abscesses with Sonographically Guided Aspiration, Irrigation, and Instillation of Antibiotics

Leborgne

2003

American Journal of Roentgenology

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“…To our knowledge, there is only one old report considering the possibility of directly injecting antibiotics in the ABA: in 1946, Florey and co‐workers successfully treated 10 large ABAs by daily aspiration and local injection of a large amount of penicillin (11).…”

Section: Discussionmentioning

confidence: 99%

ABSCESSES OF THE BREAST. US-guided serial percutaneous aspiration and local antibiotic therapy after unsuccessful systemic antibiotic therapy

Imperiale¹,

Zandrino

Calabrese

et al. 2001

Acta Radiologica

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“…Battle and Baily quoted by Uriburu in 1923 first suggested that breast abscesses could be successfully treated by percutaneous aspiration of pus and irrigation of the cavity with Dakin's solution (4,5) . In 1946, Flory was the first to consider the possibility of daily aspiration of small abscesses and direct injection of penicillin soon after the drug became available at the end of World War II (6) . Regarding assessment, ultrasonography (U/S) has been shown to be useful in depicting abscesses in patients with mastitis (7,8) .…”

Section: ‫الثدي‬ ‫خراخات‬ ‫لمعالدة‬ ‫باإلبرة‬ ‫السحب‬ ‫استعمال‬ ‫خدوى‬mentioning

confidence: 99%

Feasibility of percutaneous needle aspiration for the treatment of breast abscesses

Younis¹

2013

Ann Coll Med Mosul

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Objective: To assess the feasibility and effectiveness of percutaneous needle aspiration under local anesthesia for the treatment of acute breast abscesses in the outpatient breast clinic. Design: A retrospective study of forty three female patients with acute breast abscesses. Setting: Breast clinic in Al Jamhoory teaching hospital in Mosul between February 2004 to February 2007. Methods: Forty three patients with acute breast abscesses were studied. Special enquiries were made regarding lactation, symptomatology and sites of abscesses. All patients had preliminary breast ultrasound (U/S) examination. In the breast clinic, percutaneous needle aspiration of pus under local anesthesia was done followed by systemic antibiotic therapy. Repeated aspiration was carried out later when deemed necessary and follow up by (U/S) was conducted. Results: Forty three patients aged between 16-75 years (mean 37 years) having a provisional diagnosis of acute breast abscesses. All patients presented with a palpable tender mass, of which 4 patients had retroareolar abscesses. All patients had (U/S) of breast. Five patients were found on breast U/S to have inflammation without evidence of focal pus and they only required antibiotics. Four patients refused aspiration and underwent primary incision and drainage under general anesthesia (GA), while in two patients the abscesses were pointing and opened spontaneously before intervention, and they settled with wound toilet and antibiotics alone. The remaining thirty two patients had their abscesses aspirated, and the treatment was successful in twenty nine patients (91%) with no complications or recurrence. The treatment failed in three patients who required subsequent incision and drainage. Conclusions: Percutaneous needle aspiration of acute small unilocular breast abscesses after prior breast (U/S) followed by systemic broad spectrum antibiotics is successful, when the abscesses are completely drained. The use of this modality of the treatment has still not found wide application in our locality. This study is an attempt to recommend its use wherever facilities exist for its feasibility, low cost, no interruption with lactation and better cosmesis, though incision and drainage still may be necessary for definitive treatment for large or multilocular abscesses.

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Treatment of Breast Abscesses with Penicillin

Cited by 14 publications

References 1 publication

Treatment of Breast Abscesses with Sonographically Guided Aspiration, Irrigation, and Instillation of Antibiotics

Treatment of Breast Abscesses with Sonographically Guided Aspiration, Irrigation, and Instillation of Antibiotics

ABSCESSES OF THE BREAST. US-guided serial percutaneous aspiration and local antibiotic therapy after unsuccessful systemic antibiotic therapy

Feasibility of percutaneous needle aspiration for the treatment of breast abscesses

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