Mastitis: Difference between revisions
(Created page with "==Background== *Occurs due to bacterial colonization 2/2 areolar inflammation and glandular obstruction *Often occurs during the first few weeks to months postpartum ==Clinical ...") |
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**Indicated for severe pain or signs of systemic infection | **Indicated for severe pain or signs of systemic infection | ||
***Dicloxacillin 250mg QID x10–14d OR | ***Dicloxacillin 250mg QID x10–14d OR | ||
***Cephalexin 500mg QID x10–14d OR | ***[[Cephalexin]] 500mg QID x10–14d OR | ||
***Clindamycin 300mg QID x10–14d | ***Clindamycin 300mg QID x10–14d | ||
Revision as of 07:37, 5 February 2014
Background
- Occurs due to bacterial colonization 2/2 areolar inflammation and glandular obstruction
- Often occurs during the first few weeks to months postpartum
Clinical Features
- Fever/chills
- Flulike symptoms
- Breast exam shows erythematous region on breast w/ well-localized area of tenderness
Work-Up
- US useful to differentiate mastitis from breast abscess
Treatment
- There is no need to routinely interrupt breastfeeding with puerperal mastitis
- Frequent breast emptying is therapeutic
- Abx
- Indicated for severe pain or signs of systemic infection
- Dicloxacillin 250mg QID x10–14d OR
- Cephalexin 500mg QID x10–14d OR
- Clindamycin 300mg QID x10–14d
- Indicated for severe pain or signs of systemic infection
Disposition
- If suspect breast abscess refer for immediate surgical drainage
Source
Tintinalli