Treatment of Breast Abscesses With Penicillin

Florey, M. E.; MacVine, J. S.; Bigby, Mary A. M.

doi:10.1097/00006254-194708000-00032

Cited by 4 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The cost effectiveness ratio of Ultrasound guided aspiration was found to be much less than that of Incision and Drainage, thus indicating that Ultrasound guided aspiration provides savings to the hospital and the patient, hence more cost effective than Incision and Drainage. This was consistence with what was found elsewhere [ 11 , 13 ]. Since Ultrasound guided aspiration is an outpatient procedure as opposed to the Incision and Drainage which is inpatient procedure.…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

Ultrasound Guided Needle Aspiration versus Surgical Drainage in the management of breast abscesses: a Ugandan experience

et al. 2012

View full text Add to dashboard Cite

BackgroundDespite breast abscess becoming less common in developed countries, it has remained one of the leading causes of morbidity in women in developing countries. A randomized controlled trial was conducted at Mulago hospital complex in Kampala Uganda to establish whether ultrasound guided needle aspiration is a feasible alternative treatment option for breast abscesses.ResultsA total of 65 females with breast abscess were analyzed, of these 33 patients were randomized into the ultrasound guided needle aspiration and 32 patients in the Incision and drainage arm. The mean age was 23.12, most of them were lactating (66.2%), primipararous (44.6%) with peripheral abscesses (73.8%) located in the upper lateral quadrant (56%).The mean breast size was 3.49 cm. The two groups were comparably in demographic characteristic and breast abscess size. Survival analysis showed no difference in breast abscess healing rate between the two groups (Log rank 0.24 df 1 and P = 0.63). Incision and drainage was found to be more costly than ultrasound guided aspiration (cost effective ratio of 2.85).ConclusionUltrasound guided needle aspiration is therefore a feasible and cost effective treatment option for both lactating and non lactating breast abscesses with a diameter up to 5 cm by ultrasound in an immune competent patient

show abstract

Section: Discussionsupporting

confidence: 93%

“…This was consistence with what was found elsewhere [11,13]. Since Ultrasound guided aspiration is an outpatient procedure as opposed to the Incision and Drainage which is inpatient procedure.…”

Section: Discussionsupporting

confidence: 89%

Ultrasound Guided Needle Aspiration versus Surgical Drainage in the management of breast abscesses: a Ugandan experience

et al. 2012

View full text Add to dashboard Cite

show abstract

“…[13] and needle aspirations followed by antibiotics instillation. [14,15] In the present study in 100 patients, the mean age was 28.11 years. Two studies have reported mean age of approximately 32 years.…”

Section: Discussionmentioning

confidence: 72%

Percutaneous Needle Aspiration: A Prospective Study of 100 Cases

Sawai¹,

Bhuvan²,

K³

et al. 2016

jemds

View full text Add to dashboard Cite

Breast abscess is defined as an acute soft tissue infection which is characterized by localized pain, swelling and redness associated with a mass that may or may not be fluctuant. [1,2] Most breast abscesses develop as a complication of lactational mastitis. OBJECTIVES OF STUDYTo assess the feasibility and effectiveness of percutaneous needle aspiration of breast abscesses as a day care procedure. METHOD AND METHODOLOGYThis prospective study was conducted in patients with breast abscess attending the surgical OPD of a tertiary centre. A total of 100 patients with breast abscess giving consent to participate in study were included in the study. Percutaneous needle aspiration of pus under local anaesthesia was done with 18/16G needle. Empirical antibiotic therapy with amoxicillin+clavulanic acid was started. Aspirated pus was sent for bacteriological study. The antibiotics were changed in accordance to sensitivity report if needed. RESULTSThe mean age of the patients was 28.11 years and youngest patient was of 17 years married female. Most of the patients were lactating female in age group of 25-30 years followed by age group of 20-25 years. Topographically, most breast abscess were located in upper outer quadrant in 38 patients followed by 32 patients having abscess in central region. The mean volume of pus on ultrasonography was 57.32 mL and mean volume of pus on aspiration was 45.75 mL. The mean number of aspiration was 2.18. All of the aspirated pus was sent for culture and sensitivity. Among these, 12 samples of pus were sterile and 88 samples showed growth of organism. CONCLUSIONWith appreciable cure rate by repeated needle aspiration, this method can be preferred as treatment of breast abscess in selected patients.

show abstract

“…To our knowledge, there is only one old report considering the possibility of directly injecting antibiotics in the ABA: in 1946, Florey and co‐workers successfully treated 10 large ABAs by daily aspiration and local injection of a large amount of penicillin (11).…”

Section: Discussionmentioning

confidence: 99%