Breast abscess medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
Medical treatment is important alongside the surgical treatment.Breast abscess is treated with antibiotics like flucloxacillin, dicloxacillin or erythromycin | Medical treatment is important alongside the surgical treatment. [[Breast]] [[abscess]] is treated with [[antibiotics]] like [[flucloxacillin]], [[dicloxacillin]] or [[erythromycin]] as a supportive line to the surgical measures and to prevent the [[abscess]] recurrance. The choice of the antibiotic medications depends on the [[pathogen]] type however, the high possibility of the pathogen to be [[staphylococcus aureus]] leads to start the antibiotic medications before the result of the culture.<ref name="pmid17639835">{{cite journal| author=Dixon JM| title=Breast abscess. | journal=Br J Hosp Med (Lond) | year= 2007 | volume= 68 | issue= 6 | pages= 315-20 | pmid=17639835 | doi=10.12968/hmed.2007.68.6.23574 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17639835 }} </ref>. | ||
==Medical therapy== | ==Medical therapy== | ||
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====Lactaitonal breast abscess==== | ====Lactaitonal breast abscess==== | ||
*Preferred regimen: [[Flucloxacillin]] 500 mg BID if there is no allergy to penicillin. | *Preferred regimen: [[Flucloxacillin]] 500 mg BID if there is no allergy to [[penicillin]]. | ||
*Preferred regimen: [[Dicloxacillin]] 500 mg PID if there is no allergy to penicillin. | *Preferred regimen: [[Dicloxacillin]] 500 mg PID if there is no allergy to [[penicillin]]. | ||
*Alternative regimen: [[Erythromycin]] 500 mg BID in case of penicillin allergy. | *Alternative regimen: [[Erythromycin]] 500 mg BID in case of [[penicillin]] allergy. | ||
====Non lactational breast abscess==== | ====Non lactational breast abscess==== | ||
*Preferred regimen: [[ | *Preferred regimen: [[Amoxicillin-Clavulanate|Amoxicillin-clavulanate]] combination 375 TID if there is no allergy to [[penicillin]]. | ||
*Alternative regimen: Combination of [[Erythromycin]] 500 mg BID and [[Metronidazole]] 200 mg TID in case of penicillin allergy. | *Alternative regimen: Combination of [[Erythromycin]] 500 mg BID and [[Metronidazole]] 200 mg TID in case of [[penicillin]] allergy. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}}{{WS}} | {{WH}}{{WS}} | ||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Gynecology]] | |||
[[Category:Obstetrics]] | |||
[[Category:Surgery]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Infectious disease]] | |||
Latest revision as of 20:42, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]
Overview
Medical treatment is important alongside the surgical treatment. Breast abscess is treated with antibiotics like flucloxacillin, dicloxacillin or erythromycin as a supportive line to the surgical measures and to prevent the abscess recurrance. The choice of the antibiotic medications depends on the pathogen type however, the high possibility of the pathogen to be staphylococcus aureus leads to start the antibiotic medications before the result of the culture.[1].
Medical therapy
General measures
Breast abscess is painful so providing analgesics like NSAIDS is indicated to the patients. In order to relieve the pain and decrease the edema, breast support is indicated also.[2]
Lactaitonal breast abscess
- Preferred regimen: Flucloxacillin 500 mg BID if there is no allergy to penicillin.
- Preferred regimen: Dicloxacillin 500 mg PID if there is no allergy to penicillin.
- Alternative regimen: Erythromycin 500 mg BID in case of penicillin allergy.
Non lactational breast abscess
- Preferred regimen: Amoxicillin-clavulanate combination 375 TID if there is no allergy to penicillin.
- Alternative regimen: Combination of Erythromycin 500 mg BID and Metronidazole 200 mg TID in case of penicillin allergy.
References
- ↑ Dixon JM (2007). "Breast abscess". Br J Hosp Med (Lond). 68 (6): 315–20. doi:10.12968/hmed.2007.68.6.23574. PMID 17639835.
- ↑ Kataria K, Srivastava A, Dhar A (2013). "Management of lactational mastitis and breast abscesses: review of current knowledge and practice". Indian J Surg. 75 (6): 430–5. doi:10.1007/s12262-012-0776-1. PMC 3900741. PMID 24465097.