Template:Mastitis antibiotics: Difference between revisions
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**Analgesia (NSAIDs)
**Analgesia (NSAIDs)


===[[Antibiotics]]===
''Treatment directed at [[S. aureus]] and [[Strep]] and [[E. coli]]''
''Treatment directed at [[S. aureus]] and [[Strep]] and [[E. coli]]''
*Uncomplicated mastitis → 10 days of antibiotics (regardless of [[MRSA]] suspicion)<ref>Levine BL. 2011 EMRA Antibiotic Guide. EMRA. Pg 78.</ref>
*Uncomplicated mastitis → 10 days of antibiotics (regardless of [[MRSA]] suspicion)<ref>Levine BL. 2011 EMRA Antibiotic Guide. EMRA. Pg 78.</ref>
*[[Dicloxacillin]] 500mg PO q6hrs, considered first line if breastfeeding given safety for infant '''OR'''
*[[Cephalexin]] 500mg PO q6hrs '''OR'''
*[[Cephalexin]] 500mg PO q6hrs '''OR'''
**Add [[TMP/SMX]] 2DS tabs PO q12hrs if suspect [[MRSA]]
**Add [[TMP/SMX]] 2DS tabs PO q12hrs if suspect [[MRSA]]
*[[Clindamycin]] 450mg PO q8hrs (also provides MRSA coverage) '''OR'''
*[[Clindamycin]] 450mg PO q8hrs (also provides MRSA coverage) '''OR'''
*[[Amoxicillin/Clavulanate]] 875mg PO q12hrs '''OR'''
*[[Amoxicillin/Clavulanate]] 875mg PO q12hrs '''OR'''
*[[Dicloxacillin]] 500mg PO q6hrs '''OR'''
*[[Azithromycin]] 500mg PO x1 on day 1, then 250mg PO daily for days 2-5
*[[Azithromycin]] 500mg PO x1 on day 1, then 250mg PO daily for days 2-5

Latest revision as of 17:51, 14 May 2019

  • No need to routinely interrupt breastfeeding with puerperal mastitis.
  • For mild symptoms <24 hours, supportive care may be sufficient[1]
    • Effective milk removal (frequent breast feeding - use pumping to augment milk removal)
    • Analgesia (NSAIDs)

Treatment directed at S. aureus and Strep and E. coli

  1. ↑ Amir LH. ABM Clinical Protocol #4: Mastitis, Revised March 2014. Breastfeeding Medicine. 2014;9(5):239-243. doi:10.1089/bfm.2014.9984.
  2. ↑ Levine BL. 2011 EMRA Antibiotic Guide. EMRA. Pg 78.
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