China
Africa
Explore chapters and articles related to this topic
Milk feeding
Published in Judy More, Infant, Child and Adolescent Nutrition, 2021
A breast abscess may require a surgical aspiration or operation and drainage. However, breastfeeding should continue. If the abscess is close to the nipple, the mother may wish to express on the affected side, until it is a little more comfortable.
Paper 3
Published in Aalia Khan, Ramsey Jabbour, Almas Rehman, nMRCGP Applied Knowledge Test Study Guide, 2021
Aalia Khan, Ramsey Jabbour, Almas Rehman
Breast abscess usually occurs in breast-feeding mothers due to acute mastitis. The patient is usually systemically unwell with fever and anorexia. The breast is warm to touch, with a tender swelling. The abscess may become fluctuant and discharge spontaneously. Antibiotics effective against Staphylococcus may be sufficient if given early, but incision and drainage may be necessary.
General Surgery
Published in Tjun Tang, Elizabeth O'Riordan, Stewart Walsh, Cracking the Intercollegiate General Surgery FRCS Viva, 2020
Rebecca Fish, Aisling Hogan, Aoife Lowery, Frank McDermott, Chelliah R Selvasekar, Choon Sheong Seow, Vishal G Shelat, Paul Sutton, Yew-Wei Tan, Thomas Tsang
A 25-year-old breast-feeding mother presents in A+E with a hot, painful breast. What is the likely cause, and how will you manage her?Lactational mastitis occurs in 5% of breast-feeding women, most common in the first month and during weaning.Take a history and examine patient (breasts and axillae) − check for cracked nipples, problems with milk flow, breast pain, systemic sepsis.If systemically well/no obvious abscess, treat with oral broad-spectrum antibiotics (Flucloxacillin against Staphylococcus or Clarithromycin if penicillin allergic) initially for 5–7 days then review. Duration can be extended to 10–14 days if required. Encourage continued breast-feeding/expressing.If septic, admit for IV broad-spectrum antibiotics.If breast abscess suspected, arrange USS-guided drainage of abscess cavity under local anaesthetic. Send pus for M, C + S.Ensure patient is followed up for resolution of symptoms (important with all breast infections as inflammatory breast cancer may present similarly)
Diagnosis and Treatment of 75 Patients with Idiopathic Lobular Granulomatous Mastitis
Published in Journal of Investigative Surgery, 2019
Most reports suggested that surgery is still the main treatment for IGLM. Based on the resection sizes from small to large, the surgeries include breast abscess incision and drainage, extensive lumpectomy, quadrantectomy and ipsilateral masctectomy, and the first stage of plastic surgery according to the patient's wishes.23 Since breast abscess incision and drainage may not completely remove the lesion area, the wound may not be easy to heal, which may produce fistula, surgery is only suitable for the treatment of patients with larger abscess to shrink the lesion in order to facilitate secondary surgical resection. We believe that extensive lumpectomy and quadrantectomy are suitable for most patients. Because IGLM is a benign disease, simple mastectomy must not be accepted by the majority of patients. In this study, only one patient accepted the procedure, because of previous breast surgery, which had removed the part of the breast tissue. Because the patient suffered from IGLM in a larger range, and because a glandular flap repair could not achieve satisfactory results, and her financial conditions could not support the first phase plastic surgery, she chose ipsilateral masctectomy.
New Insights of Corynebacterium kroppenstedtii in Granulomatous Lobular Mastitis based on Nanopore Sequencing
Published in Journal of Investigative Surgery, 2022
Xin-Qian Li, Jing-Ping Yuan, Ai-Si Fu, Hong-Li Wu, Ran Liu, Tian-gang Liu, Sheng-Rong Sun, Chuang Chen
The samples were obtained by ultrasound guidance for puncture or biopsy in the breast abscess or hypoechoic mass [24]. The breast pus or tissues were separated into two samples: one was used for nanopore sequencing, and the other for bacterial culture. If the patients did not develop pus or abscesses, we collected tissues for detection. All operations were performed under aseptic conditions. Gram staining were carried out on 42 FFPE tissues from 39 patients. A 4 μm section cut from each FFPE tissue were used for staining.
The effectiveness of needle aspiration versus traditional incision and drainage in the treatment of breast abscess: a meta-analysis
Published in Annals of Medicine, 2023
Fei Zhou, Zhaohui Li, Liyuan Liu, Fei Wang, Lixiang Yu, Yujuan Xiang, Chao Zheng, Shuya Huang, Zhigang Yu
Breast abscess refers to inflammation of the breast and is divided into puerperal and non-puerperal breast abscesses. A puerperal breast abscess is an acute inflammation of the breast caused by pregnancy or breastfeeding, which affects 0.4–11% of breastfeeding women [1]. A non-puerperal breast abscess is an inflammation of the breast in non-breastfeeding women. The two main causes of non-puerperal breast abscess are granulomatous lobular mastitis and periductal mastitis, both of which mainly affect young women.