Mastitis is a painful inflammation of the breast, which is usually accompanied by an infection.
Fever later in childbirth is often caused by a mastitis. Staphylococci are the most common cause.
Mastitis is a painful inflammation of the breast, which is usually accompanied by an infection. Fever later in childbirth is often caused by a mastitis. Staphylococci are the most common cause. Brustabszesse are very rare and are sometimes caused by methicillin-resistant Staphylococcus aureus. Symptoms of mastitis high fever and chest symptoms may include: include redness, induration, tenderness, pain, swelling and palpable warmth. Mastitis is different from the pain and minor injuries of the nipples, which often occur at the beginning of breastfeeding. The diagnosis of mastitis is clinical. Treatment antibiotics against staphylococci For the treatment of mastitis include the call for increased fluid intake as well as antibiotics, specifically against Staphylococcus aureus, the most common causative pathogenic agent. Examples are dicloxacillin 500 mg p.o. q 6 hours for 7-10 days for women with a penicillin allergy are Cephalexin 500 mg po 300 mg po four times a day or clindamycin three times a day acceptable for 10 to 14 days. Erythromycin 250 mg p.o. every 6 h is less frequently used. When the state of the women were not improved with this therapy and they have no abscess, should be to cover vancomycin resistant pathogens 1 g i.v. every 12 hours or cefotetan 1-2 g i.v. Pull every 12 hours into consideration. During the treatment, it is advised to continue breastfeeding because the evacuation of the affected breast is part of the therapy. Brustabszesse be treated mainly by incision and drainage. It should antibiotics against S. aureus can be used. There is no guarantee that antibiotics are required for methicillin-resistant S. aureus to treat mastitis or breast abscess.