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MASTITI

S
• Infection of the breast
• 7 postpartal day or not
th

until the baby is weeks or


months old
• Epidemic mastitis or
epidemic breast abscess
ORGANISM
INVOLVED
Staphylococcus aureus
• Methicillin-resistant S.
aureus infection or
candidiasis while in the
hospital

Candida spp.
• Candidiasis
TRANSMISSION
Infant acquired
Nasal-oral cavity of
organism from the (breastfeeding)
infant
hospital

RISK FACTOR
Milk ducts by Cracked or fissured
Proliferate
sucking nipples

Spreads from one to


BREAST MILK as an another (Epidemic
Bacterial growth
excellent medium mastitis/epidemic
breast abscess)
PREVENTIVE
MEASURES
FOR NIPPLES FROM CRACKING
Making certain the
baby is positioned
correctly and
grasps the nipple
properly, including
both the nipple
and areola.
Helping a baby
release a grasp on
the nipple before
removing baby
from the heat.
Washing hands
between handling
perineal pads and
touching breast.
Exposing nipples
to air for at least
part of every day.
Possibly using a
vitamin E ointment
daily to soften
nipples.
Encouraging
women to begin
breastfeeding
(when the infant
sucks most
forcefully) on an
unaffected nipple
(if a woman has
one cracked nipple
and one well
nipple)
ASSESSMENT
• Usually unilateral,
• Bilateral-epidemic
mastitis, originates with
infant
SIGNS & SYMPTOMS
• Painful
• Swollen
• Reddened
• Fever within hours
• Scant breast milk
If diagnosis is not clear,
• Sonogram
–To be certain a deep
lying breast abscess isn’t
also present
THERAPEUTIC
MANAGEMENT
Dicloxacillin or cephalosporin
• Antibiotics against penicillin-
resistant staphylococci
Breastfeeding
• Breast emptied of milk prevent
bacterial growth
• Infected breast (too painful), express
milk manually until antibiotic has
taken effect and mastitis has
diminished
Cold or Ice compress and
supportive bra
• Helps with pain relief until the
process improves
Warm, wet compress
• Helpful in reducing inflammation and
edema
If treated immediately,

Mastitis 2-3 days Mastitis


If left untreated,

Breast Localized
infection abscess
If unrecognized,

Spread to involve Rupture through


a large portion of skin, w/ thick,
breast purulent drainage
If an abscess forms,
Abscess may
DISCONTINUE
need incision &
breastfeeding
drainage

Encourage to
Bottle-feed
pump breast
infant
milk
NEITHER mastitis nor a
breast abscess leaves any
permanent breast disease
Incision is NOT associated
with the development of
breast cancer and DOES
NOT interfere with future
breastfeeding potential.

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