An evaluation of the use of stilboestrol and antibiotics in the early management of acute puerperal breast abscess

Abstract

One hundred and seventy‐five cases of acute breast abscess treated surgically have been described. The supposed rationale for the early use of stilboestrol and antibiotics in this condition has been reviewed. Neither stilboestrol nor antibiotics confers any benefit with regard to rate of healing or recurrent abscess formation after incision. Whilst full evaluation of these drugs in breast abscess awaits a prospective trial, it is suggested that, in the case of stilboestrol, there are sufficient potential dangers to make its routine prescription undesirable, if not indefensible. In the case of antibiotics since no apparent benefit is conferred it might reasonably be concluded that administration is merely wasteful.

Awareness on the management strategy of stitch abscess among dental students

“…[ 43 ] Once a bacterial infection is confirmed, antibiotic susceptibility testing can be done to determine which antibiotics will be most effective for treating the infection. [ 44 ] Other tests and culturing methods can be used if a fungal infection is suspected. If the infection is small or localized, an antibiotic cream can be prescribed to apply to the site.…”

Management of breast abscesses

“…There is no particular reason why the lactating patient should stop breast feeding if she wishes to continue to do so, although, in fact, lactation will cease spontaneously in around 50% of women who develop acute puerperal breast abscess [7]. Inhibition of lactation may actually hinder rapid resolution of the abscess by producing increasingly viscid secretions that tend to promote rather than reduce breast engorgement.…”

Η Εκπλυσις Της Περιτοναικης Κοιλοτητος Μετα Η Ανευ Εγχυσεως Χλωραμφενικολης Εις Την Αντιμετωπισιν Της Περιτονιτιδος

“…Τούτο έστηρίχθη εις τρεις παρατηρήσεις : α. Είς τήν γνωστήν μεγάλη ίκανότητα τοϋ περιτοναίου να άνθίσταται είς τάς φλεγμονάς. β. Είς τήν διαπίστωσιν της μεγάλης άντιμικροβιακής ισχύος τοϋ τοιχώμα τος οιασδήποτε άποστηματικής κοιλότητος, μετ' έφ' άπαξ μόλυνσιν, γε γονός το όποιον ώδήγησεν εϊς τήν επιτυχή άντιμετώπισιν αποστημάτων γλουτού, μαστοϋ, πρωκτοϋ διά διανοίξεως, εκκενώσεως, άποξέσεως καί άμεσου συγκλείσεως της άποστηματικής κοιλότητος άνευ παροχετεύ σεως (Wilson, 1964-Benson andGoodman, 1970). γ. Τάς ενδείξεις περί τοϋ ενδεχομένου βλαπτικής αντιδράσεως εκ της χρή σεως παροχετευτικών σωλήνων (Cerise et al 1970* Duthie, 1972).…”

“…Είς τάς περιτονίτιδας έκ παθήσεων τοΰ λεπτοΰ καί παχέος εντέρου ή εξαγωγή ασφαλών συμπερασμάτων δέν είναι δυνατή λόγω τοΰ μικρού αρι θμού τών ασθενών (πίνακες 16,17).…”