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. 1988 Oct;34:2221–2226.

Treatment of Acute Puerperal Mastitis and Breast Abscess

Helene Bertrand Cantlie
PMCID: PMC2219179  PMID: 21253250

Abstract

Mastitis is a benign infection of the breast if it is treated early. If two days elapse before treatment is started, it can lead to serious complications such as chronic or recurrent mastitis or breast abscess. Treatment consists in frequent nursing and massaging or stripping the breast to keep it empty of milk or pus, and appropriate antibiotics. Incision and drainage of a breast abscess can be done in the office under local anesthesia, and the drainage continued at home by the mother.

Keywords: mastitis, breast abscess, treatment

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. COLBECK J. C. An extensive outbreak of staphylococcal infections in maternity units; the use of bacteriophage typing in investigation and control. Can Med Assoc J. 1949 Dec;61(6):557–568. [PMC free article] [PubMed] [Google Scholar]
  2. DE JODE L. R. Penicillin in the treatment of lactational breast abscess. Lancet. 1957 Mar 16;272(6968):560–562. doi: 10.1016/s0140-6736(57)90924-8. [DOI] [PubMed] [Google Scholar]
  3. Devereux W. P. Acute puerperal mastitis. Evaluation of its management. Am J Obstet Gynecol. 1970 Sep 1;108(1):78–81. doi: 10.1016/0002-9378(70)90208-5. [DOI] [PubMed] [Google Scholar]
  4. Fulton A. A. Puerperal and Lactational Mastitis in an Industrial Town. Br Med J. 1945 May 19;1(4402):693–696. doi: 10.1136/bmj.1.4402.693. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. GIBBERD G. F. Sporadic and epidemic puerperal breast infections; a contrast in morbid anatomy and clinical signs. Am J Obstet Gynecol. 1953 May;65(5):1038–1041. doi: 10.1016/0002-9378(53)90629-2. [DOI] [PubMed] [Google Scholar]
  6. Hanwell A., Linzell J. L. The effects of engorgement with milk and of suckling on mammary blood flow in the rat. J Physiol. 1973 Aug;233(1):111–125. doi: 10.1113/jphysiol.1973.sp010300. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. KNIGHT I. C., NOLAN B. Breast abscess. Br Med J. 1959 May 9;1(5131):1224–1226. doi: 10.1136/bmj.1.5131.1224. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Leary W. G., Jr ACUTE PUERPERAL MASTITIS-A REVIEW. Calif Med. 1948 Mar;68(3):147–151. [PMC free article] [PubMed] [Google Scholar]
  9. MILLS C. P. Mammary abscess; disadvantages of antibiotics in its management. Br Med J. 1953 Jun 27;1(4825):1427–1429. doi: 10.1136/bmj.1.4825.1427. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Niebyl J. R., Spence M. R., Parmley T. H. Sporadic (nonepidemic) puerperal mastitis. J Reprod Med. 1978 Feb;20(2):97–100. [PubMed] [Google Scholar]
  11. Peters F., Hilgarth M., Breckwoldt M. The use of bromocriptine in the management of non-puerperal mastitis. Arch Gynecol. 1982;233(1):23–29. doi: 10.1007/BF02110675. [DOI] [PubMed] [Google Scholar]
  12. RAVENHOLT R. T., WRIGHT P., MULHERN M. Epidemiology and prevention of nursery-derived staphylococcal disease. N Engl J Med. 1957 Oct 24;257(17):789–795. doi: 10.1056/NEJM195710242571701. [DOI] [PubMed] [Google Scholar]
  13. SMITH C. O., VARGA A. Puerperal breast abscess. Am J Obstet Gynecol. 1957 Dec;74(6):1330–1341. doi: 10.1016/0002-9378(57)90022-4. [DOI] [PubMed] [Google Scholar]
  14. SOLTAU D. H., HATCHER G. W. Some observations on the aetiology of breast abscess in the puerperium. Br Med J. 1960 May 28;1(5186):1603–1607. doi: 10.1136/bmj.1.5186.1603. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Thomsen A. C., Espersen T., Maigaard S. Course and treatment of milk stasis, noninfectious inflammation of the breast, and infectious mastitis in nursing women. Am J Obstet Gynecol. 1984 Jul 1;149(5):492–495. doi: 10.1016/0002-9378(84)90022-x. [DOI] [PubMed] [Google Scholar]

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