Template:Mastitis antibiotics: Difference between revisions
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===[[Antibiotics]]=== | ===[[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 | *Uncomplicated mastitis → 10 days of antibiotics (regardless of [[MRSA]] suspicion)<ref>Levine BL. 2011 EMRA Antibiotic Guide. EMRA. Pg 78.</ref> | ||
*[[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]] | ||
Revision as of 21:11, 3 April 2017
- 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)
Antibiotics
Treatment directed at S. aureus and Strep and E. coli
- Uncomplicated mastitis → 10 days of antibiotics (regardless of MRSA suspicion)[2]
- Cephalexin 500mg PO q6hrs OR
- Clindamycin 450mg PO q8hrs (also provides MRSA coverage) 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