Risk Factors for Staphylococcus aureus Postpartum Breast Abscess

Branch‐Elliman, Westyn; Golen, Toni; Gold, Howard S.; Yassa, David S.; Baldini, Linda M.; Wright, Sharon B.

doi:10.1093/cid/cir751

Cited by 40 publications

(35 citation statements)

References 17 publications

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“…aureus resistant to penicillinase-resistant penicillins (methicillin-resistant S. aureus [MRSA], also referred to as oxacillin-resistant S. aureus) has been increasingly isolated in cases of mastitis and breast abscesses. [20][21][22] (II-2) Clinicians should be aware of the likelihood of this occurring in their community and should order a breastmilk culture and assay of antibiotic sensitivities when mastitis is not improving 48 hours after starting first-line treatment. Local resistance patterns for MRSA should be considered when choosing an antibiotic for such unresponsive cases while culture results are pending.…”

Section: (Iii)mentioning

confidence: 99%

“…MRSA may be a communityacquired organism and has been reported to be a frequent pathogen in cases of breast abscess in some communities, particularly in the United States and Taiwan. 21,23,24 (I, II-2) At this time, MRSA occurrence is low in other countries, such as the United Kingdom. 25 (I) Most strains of methicillinresistant staphylococci are susceptible to vancomycin or trimethoprim/sulfamethoxazole but may not be susceptible to rifampin.…”

Section: (Iii)mentioning

confidence: 99%

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ABM Clinical Protocol #4: Mastitis, Revised March 2014

Amir

2014

Breastfeeding Medicine

172

173

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A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient.

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Section: (Iii)mentioning

confidence: 99%

Section: (Iii)mentioning

confidence: 99%

ABM Clinical Protocol #4: Mastitis, Revised March 2014

Amir

2014

Breastfeeding Medicine

172

173

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“…14 Both methicillin-sensitive S. aureus (MSSA) and MRSA are associated with chorioamnionitis and neonatal sepsis, lactational mastitis, breast abscess, perineal abscess, and infections associated with laceration/episiotomy as well as surgical site infection after cesarean birth. [14][15][16][17][18][19][20][21][22][23][24][25] The bacterium is also commonly seen during pregnancy as an SSTI.…”

mentioning

confidence: 99%

Staphylococcus Infections in Pregnancy

Kriebs¹

2016

Journal of Perinatal &Amp; Neonatal Nursing

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Staphylococcus aureus is carried by up to one third of the general population; about 2% are carriers for methicillin-resistant S. aureus (MRSA). Infections caused by the antibiotic-resistant form include skin and soft tissue infections, as well as pneumonia, sepsis, and wound infections. Although the risks of hospital-associated systemic infections have decreased with attention to infection control procedures, serious obstetric illness remains a concern. This article describes the range of MRSA infection in the setting of pregnancy and discusses risks to both mother and newborn associated with active MRSA infection during pregnancy and childbirth. Methicillin-resistant S. aureus remains a risk to mothers and newborns, requiring prompt identification and appropriate management.

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“…Of those with mastitis, up to 11% go on to develop a breast abscess. 34 The patient presented with all the classic signs and symptoms of a serious breast infection, although, it can be difficult to differentiate a breast abscess from mastitis, especially if the abscess is small and located deep in the breast tissue. High fever and chills with malaise, with firm, tender fluctuating mass, and the presence of erythema of the areolar or periareolar area indicate abscess formation.…”

Section: Case #7: Breast Abscessmentioning

confidence: 99%

Ultrasound Assessment of Postpartum Fever

Tie¹,

Tajnert²,

O’Neill³

2013

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Postpartum fever and infection remain a significant cause of morbidity in postpartum period. Ultrasound is useful for assessment of the patients who present with temperature elevation, vaginal bleeding, pelvic and/or abdominal pain and signs of infection. Sonography can also be used to detect mastitis and breast abscess. Different types of imaging may be used in patients with refractory fever from suspected pyelonephritis, renal abscess and deep vein thrombosis. This article presents a variety of case scenarios regarding the postpartum fever. By using illustrative images the learner will be able to differentiate between the most common causes of postpartum fever, and will be able to identify typical B-mode, color Doppler, and CT images that require immediate antibiotic and/or invasive treatment.

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Risk Factors for Staphylococcus aureus Postpartum Breast Abscess

Abstract: MRSA is an increasingly important pathogen in postpartum women; risk factors for postpartum SA breast abscess have not changed with the advent of community-associated MRSA.

Cited by 40 publications

References 17 publications

ABM Clinical Protocol #4: Mastitis, Revised March 2014

ABM Clinical Protocol #4: Mastitis, Revised March 2014

Staphylococcus Infections in Pregnancy

Ultrasound Assessment of Postpartum Fever

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