Management of breast abscesses

Benson, E. A.

doi:10.1007/bf01658428

Cited by 63 publications

(48 citation statements)

References 11 publications

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“…14,15 Diabetes mellitus, smoking, obesity, black race, and piercing of the nipple are the most important risk factors for the development of nonlactational breast abscess. 16,17 Usually, they manifest with an acute onset of severe pain and a well-defined fluctuant lump in the affected breast, redness, swelling, tenderness in affected area of the breast, fever, malaise, and enlarged axillary lymph nodes.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the microbial flora in breast abscess: a retrospective cohort study conducted in the emergency department

et al. 2017

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Background: Breast abscess develops as a complication of lactational mastitis. Recently, there is an increase in the incidence of non-lactational breast abscess. The aim of the study was to analyse the microbial flora in the lactational and non-lactational breast abscess in the ED and to elucidate the susceptibility of flora to different antibiotics.Methods: This is a retrospective cohort study of breast abscess patients registered in the ED over two years. The case records of these patients were retrieved, and the details of their age, clinical presentation, investigation, and treatment were recorded. Specifically, the pus culture sensitivity and antibiotics used in the management of these patients were noted, and the pattern of microbiological flora analyzed.Results: A total of 124 patients were included in the study, with 97 women were categorized into lactational breast abscess, and 27 women were classified as a non-lactational breast abscess. Mean age was 24 years of age (Range 18 to 56 years). The majority of the women were young between 18 and 34 years of age (83%). The culture was grown in 92% of the patient pus specimens. Staphylococcus aureus (83%) was common organisms cultured in lactational breast abscess. Mixed Flora including Staphylococcus aureus and Group B Streptococci were grown in non-lactational breast abscess.Conclusions: Appropriate antibiotic choices are of immense importance in the management of breast abscess. Mixed flora is common in non - lactational breast abscess when compared with a lactational breast abscess. Staphylococcus Aureus is the most common isolate in both groups.

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Section: Discussionmentioning

confidence: 99%

Analysis of the microbial flora in breast abscess: a retrospective cohort study conducted in the emergency department

et al. 2017

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“…Once an abscess is established, management involves incision and drainage by providing general anesthesia however this is associated with regular dressing, prolonged healing time, difficulty in breast feeding, , possible unsatisfactory cosmetic outcome, rupture and recurrent breast abscess. 7 Hence now-a-days treatment of breast abscess by repeated needle aspiration with or without ultrasound guidance gained importance. 8,9 This procedure has been used successful and is associated with less recurrence, excellent cosmetic result and has less costs.…”

Section: Introductionmentioning

confidence: 99%

Comparison between aspiration and incision and drainage of breast abscess

et al. 2016

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INTRODUCTIONBreast abscess is one of the commonest form of abscess surgical emergencies usually seen in lactating woman. 1,2 The frequency of occurrence is highly related to pregnancy and mainly caused due to nipple piercing by a child during feeding and bacterial colonization due to improper nursing technique and incomplete emptying of the breast.3,4 Immediate diagnosis and treatment is necessary if breast feeding is to be continued and for the prevention of further complications. 5Treatment of breast abscesses is a difficult clinical problem. 6 At an early stage, acute mastitis may be treated ABSTRACTBackground: Breast abscess is defined as an acute inflammatory lump which yields pus on incision/aspiration. The frequency of occurrence is highly related to pregnancy and caused due to nipple piercing by a child during feeding and bacterial colonization due to improper nursing technique and incomplete emptying of the breast. Non-lactational breast abscesses are entirely different from those occurring during breast feeding. They occur in the peri-areolar tissues, frequently recur, and infecting organisms are mixture of anaerobes. The present study compares the outcome and effectiveness of traditional treatment incision and drainage against needle aspiration in the treatment of breast abscess.Methods: This is a comparative study carried out in department of general surgery in a tertiary health care center, LTMMH and GH, Mumbai for a period of 2 years (May 2012 -May 2014) after taking approval from institutional ethics committee. 60 female patients of age between 18-65 years and diagnosed breast abscess with abscess size of less than 10 cm in diameter on ultrasonography were included in the study after taking written consent form. Of these 30 had undergone aspiration of the breast abscess (group A) and 30 had undergone incision and drainage of the breast abscess (group B). Results:The mean age of the female patients in the study were 18-42 years. 90% of the cases were lactating. S. aureus was the common organism isolated in both lactating and non-lactating cases, encountered in 34 patients (57.7%). Out of that 20 were in the aspirated group (66.7%). 14 patients were in the incised group (46.7%). The mean healing time and cosmetic outcome was significantly (p = 0.001) very good in patients treated with needle aspiration compared to incision and drainage. There was no recurrence of breast abscess observed in needle aspiration group during the study. There was 3.3% recurrence rate observed in the incision and drainage group. Conclusions: Breast abscess in patients with diameter of less than 7 cm can be treated with needle aspiration successfully and with a good cosmetic outcome.

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“…Le diagnostic se pose également avec l'ectasie canalaire ou la métaplasie malpighienne qui sont les anomalies anatomiques le plus souvent en cause [7,8,22,23]. Si le doute persiste une échographie mammaire avec ponction-biopsie permettant d'élucider le diagnostic.…”

Section: Diagnosticunclassified

“…Les indications thérapeutiques dépendent du contexte, des résultats des éventuels examens complémentaires et du caractère récidivant ou non de l'abcès [2,22].…”

Section: Indicationsunclassified