Mastitis
Mastitis is inflammation of breast or udder tissue usually due to infection. Staphylococcus aureus is the most common pathogen responsible, but S. epidermidis and streptococci are occasionally isolated as well.
causes
Mastitis typically develops when the milk is not properly removed from the breast. Milk stasis can lead to the milk ducts in the breasts becoming blocked, as the breast milk is not being properly and regularly expressed.It has also been suggested that blocked milk ducts can occur as a result of pressure on the breast, such as tight-fitting clothing or an over-restrictive bra, although there is sparse evidence for this supposition. Mastitis may occur when the baby is not appropriately attached to the breast while feeding, when the baby has infrequent feeds or has problems suckling the milk out of the breastManagement
Treat with antibiotic and continue to breast feed from both breasts. This is an important component of treatment and poses no risk to the infant.Common pathogens
Staphylococcus aureus in lactating women, S. aureus and anaerobes in non-lactating females, or in malesAntibiotic treatment for mastitis
First choice
Flucloxacillin
Adult: 500 mg, four times daily, for seven daysSkin
Alternatives antibiotic for mastitis
Cephalexin
Adult: 500 mg, four times daily, for seven daysErythromycin
Adult: 400 mg, four times daily, for seven daysTreat mastitis in males or non-lactating females with amoxicillin clavulanate 500+125 mg, three times daily, for seven days
sign and symptoms
1.breast pain
2.swelling
3.redness and fever
4.enlargement changed nipplis
5.sensation and discharge of milk
6.itching
7.tenderness and or a
breast lump
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