Template:Mastitis antibiotics: Difference between revisions
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*No need to routinely interrupt breastfeeding with puerperal mastitis. | |||
*For mild symptoms <24 hours, supportive care may be sufficient<ref name="Amir">Amir LH. ABM Clinical Protocol #4: Mastitis, Revised March 2014. Breastfeeding Medicine. 2014;9(5):239-243. doi:10.1089/bfm.2014.9984.</ref> | |||
**Effective milk removal (frequent breast feeding - use pumping to augment milk removal) | |||
**Analgesia (NSAIDs) | |||
===[[Antibiotics]]=== | ===[[Antibiotics]]=== | ||
Revision as of 22:03, 7 September 2015
- 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 Abx (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
