Breast abscess medical therapy

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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..

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.

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.