Mastitis/Breast abscess Flashcards
Most common causative pathogen of mastitis
S aureus
How does bac transfer from baby to mother during feeding
Goes through cracks in nipple/milk duct
List of presentations in mastitis
- red
- hot
- tender
- swollen lump
- fever
- nipple discharge
Most significant RF for mastitis
Lactating women
Top Ix for mastitis
USS
Why to make incision in mastitis
Drain abscess
Why is continuing breast feeding recommended in mastitis
Remove potential obstruction
If conservative Mx doesnt work, what’s the 1st line Abx
Flucloxacillin
If conservative Mx doesnt work, what’s the Abx for candida
Flucnazole
When is the nipple most vulnerable to candida
Post Abx course
What does candida in the nipple lead to
Recurrent mastitis
Tx for mother who has candida of the nipple
Topical miconazole after BF
Tx for baby of mother who has candida of nipple
Miconazole gel/nystatin
