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Tidsskr Nor Laegeforen. 2003 Nov 6;123(21):3027-30.

[Treatment of mastitis in general practice].

[Article in Norwegian]

Author information

  • 1Institutt for farmakoterapi, Postboks 1065 Blindern, 0316 Oslo. h.m.e.nordeng@labmed.uio.no

Abstract

BACKGROUND:

This article presents an update on causes and management of mastitis in general practice.

MATERIAL AND METHODS:

Published articles on the causes and management of mastitis were identified by Medline and Embase searches, and reviewed. In addition, clinical experience from The National Breast-Feeding Centre in Norway is included.

RESULTS AND INTERPRETATION:

Most studies report an incidence of mastitis of less than 20% though major methodological limitations make estimates difficult. Common symptoms of mastitis is a swollen, red, hot and painful breast, and systemic symptoms as fever occur frequently. Mastitis may be inflammatory or caused by microorganisms, and often secondary to milk stasis. Effective milk removal is a most essential part of the treatment and may make antibiotics superfluous. In most cases bacterial mastitis is caused by Staphylococcus aureus resistant to beta-lactamase sensitive antibiotics. Culture of the milk is necessary to determine the infecting organism and its antibiotic sensitivity. When antibiotics are warranted, dicloxacillin or cloxacillin are suggested as first-line drugs. The transfer of dicloxacillin/cloxacillin to breast milk is minimal. In most cases women with mastitis can continue to breast-feed also from the affected breast during treatment.

PMID:
14618169
[PubMed - indexed for MEDLINE]
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