Mastitis is a common condition that predominates during the puerperium. Breast abscesses are less common, however when they do develop, delays in specialist referral may occur due to lack of clear protocols. In secondary care abscesses can be diagnosed by ultrasound scan and in the past the management has been dependent on the receiving surgeon. As a clear guideline on the management of breast infection is lacking, this review provides useful guidance for those who rarely see breast infection to help avoid long-term morbidity. Mastitis is a relatively common breast condition; it can affect patients at any time but predominates in women during the breast-feeding period 1. It is defined as inflammation of the breast with or without infection.
Mothers with a MRSA infection can usually continue to breastfeed while receiving appropriate treatment compatible with breastfeeding. Staph bacteria can be carried by individuals and not cause any symptoms, but can also cause serious infections that can lead to sepsis or death. These bacterial pathogens can be associated with mastitis a breast infection and breast abscesses in breastfeeding mothers, and require prompt medical attention. In most cases, mothers with a staph or MRSA infection can continue to breastfeed their infant.
She called her ObGyn to report that pus was oozing from the nipple. He prescribed an antibiotic for what he presumed to be a clogged milk duct, and told her to continue to breastfeed. The infection worsened, until milk ceased to flow and the breast was red, painful, and warm.
Many nursing mothers who have been hospitalized for breast abscesses are afflicted with the "superbug" methicillin-resistant Staphylococcus aureus, or MRSA, but according to new research by UT Southwestern Medical Center physicians, conservative treatment can deal with the problem. The study focused on hospitalized women with mastitis, and showed that MRSA was much more likely to be found in those who had both mastitis an inflammation of the milk glands and abscesses pockets of infection. George Wendel, professor of obstetrics and gynecology and senior author of the study, which appears in the September issue of the journal Obstetrics and Gynecology. The study also showed that if a nursing mother has an abscess, she does not immediately need antibiotics against MRSA, but can be switched to them if tests reveal she has MRSA. The study was designed to determine which antibiotic treatment is best for severe cases of mastitis, which can be caused by clogged milk ducts with or without infection, and breast abscesses, which are caused by bacterial infections, generally by aureus.