mastitis
Table of Contents
mastitis
introduction
- mastitis is a common complication of lactation in the post partum period and is usually caused by Staphylococcus aureus.
- see the above fact sheet for its prevention and early Mx.
ED Mx of established puerperal mastitis
- maintain adequate fluid intake
- continue breast feeding:
- the milk is safe for the baby.
- it is important to continue to breastfeed or express from the affected breast.
- if the breast is not well drained, symptoms may worsen and the milk supply may drop in this breast.
- look for and exclude presence of breast abscess which may require surgical drainage
- consider diagnostic ultrasound if suspect abscess formation
- mild cases can be Rx with oral flucloxacillin 500mg qid
- more severe cases or non-responsive cases often require admission under the obstetrics unit and iv flucloxacillin
- monitor hepatic function if flucloxacillin treatment continues for > 2 weeks, especially if there are other risk factors.
- if allergic to penicillin consider oral cephalexin 500mg qid or cephazolin 1g iv tds
- if history of immediate penicillins allergy, consider clindamycin 450mg qid o for 5 days or 450mg tds iv, or vancomycin 1g bd iv if pathogen sensitivity is confirmed.
mastitis.txt · Last modified: 2012/01/10 23:27 by 127.0.0.1