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Postpartum Mastitis

This disease is a relatively rare form of postpartum infection. There are epidemic that occur in puerperas in the postpartum ward of the maternity hospital, and endemic forms of mastitis that occur in nursing mothers under community-acquired conditions. Endemic mastitis most often develops no earlier than 2-3 weeks after birth. Predisposing factors are cracks, abrasions of the nipples and lactostasis.

The main pathogens

In the vast majority of cases, especially with epidemic mastitis, the causative agent is S.aureus. With endemic mastitis, streptococci of groups A and B can be found, sometimes H.influenzae and H. parainfluenzae. However, in almost 50% of cases of the disease, normal skin flora is sown from breast milk.

Antimicrobial Selection

Antibacterial therapy should begin immediately after diagnosis. In the absence of signs of an abscess, both oral and parenteral preparations are used.

Drugs of choice: oxacillin or cefazolin.

Alternative drugs: oral lincosamides (lincomycin or clindamycin), amoxicillin / clavulanate.

Breastfeeding can be continued (with the use of oxacillin and cefazolin) or a full decantation can be performed.
The frequency of emptying the affected breast should be increased. Topically applied cold and supportive bra.

With the development of an abscess, AMP are prescribed only parenterally, in parallel with surgical drainage of the abscess.

Drugs of choice: oxacillin or cefazolin.

Alternative drugs: amoxicillin / clavulanate, ampicillin / sulbactam or lincosamides.

If MRSA is detected, vancomycin.

Breastfeeding during abscess formation is prohibited and therapy aimed at eliminating lactostasis is carried out.

Duration of therapy: treatment can be completed 24-48 hours after clinical improvement.
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Postpartum Mastitis

  1. Postpartum Mastitis
    In recent years, the frequency of postpartum mastitis has decreased slightly. However, the course of the disease is characterized by a large number of purulent forms, resistance to treatment, extensive breast damage, and a tendency to generalization. With mastitis, puerperas often infect newborns. In the etiology of mastitis, the leading place is occupied by pathogenic staphylococcus. Clinical picture and
  2. GENERALIZED POST-BIRTH INFECTIOUS DISEASES LACTATIVE MASTITIS
    SEPTIC SHOCK IN OBSTETRICS One of the most serious complications of purulent-septic processes of any localization is septic or bacterial-toxic shock. Septic shock is a special reaction of the body, expressed in the development of severe systemic disorders associated with impaired adequate tissue perfusion, occurring in response to the introduction of microorganisms or their
  3. GENERALIZED POST-BIRTH INFECTIOUS DISEASES LACTATIVE MASTITIS
    SEPTIC SHOCK IN OBSTETRICS One of the most serious complications of purulent-septic processes of any localization is septic or bacterial-toxic shock. Septic shock is a special reaction of the body, expressed in the development of severe systemic disorders associated with impaired adequate tissue perfusion, occurring in response to the introduction of microorganisms or their
  4. The postpartum period. The main indicators (signs) of the normal course of the postpartum period of animals
    The postpartum period is the time from the end of childbirth (expulsion of the afterbirth) to the completion of the involution of the genital and other organs of the woman in labor, who underwent changes during pregnancy and childbirth. The main indicators of the normal course of the postpartum period: - time to stop the allocation of lochia; - time of closure of the cervical canal; - uterine involution; - Involution of the corpus luteum of pregnancy;
  5. Postpartum and Early Postpartum Blood Loss Measurement
    Purpose: determination of physiological, borderline and pathological blood loss. Equipment: kidney-shaped tray, graduated cylinder. Prerequisite: Measure only with a graduated cylinder. Measurement algorithm Place the woman in childbirth (puerpera) on the bed for childbirth in the supine position, legs bent and divorced. Substitute a kidney-shaped tray under a woman's pelvis
  6. Task 50. LACTATION MASTITIS
    Puerpera F., 22 years old, was delivered through the natural birth canal by a live full-term male child weighing 3500 g. On the 4th day of the postpartum period, complaints of headache, weakness, pain in the right mammary gland, a sharp increase in body temperature to 39 ° C, chills . Status praesens. The condition is satisfactory. The skin is pale, dry. Marked engorgement of dairy
  7. Mastitis
    Untreated engorgement on time can lead to inflammation of the breast tissue called mastitis. Mastitis does not necessarily mean infection. The suffix - um, as in the word arthritis, means inflammation with swelling, soreness, redness and pain. It is often difficult for the mother (and the doctor) to say what the inflammation caused by: engorgement or blockage of the milk ducts (none of them require antibiotics), or
  8. Mastitis
    Mastitis (mastitis) is an inflammation of the mammary gland that develops as a result of exposure to mechanical, thermal, chemical and biological factors. Causes of mastitis. Mastitis is a polyetiological disease. The causes of inflammation of the mammary gland are manifold and usually have a complex effect. The content of cows in large dairy complexes is unthinkable
  9. INFECTIOUS MASTITIS
    Infectious mastitis is an acute, contagious disease of female animals of various species, mainly cattle and small cattle, manifested by various forms of inflammation of the udder, as well as a violation of the general condition and intoxication of the body (see color. Paste). Historical background, distribution, economic damage. Cows mastitis have been known since ancient times and are widespread.
  10. MASTITIS
    Mastitis (inflammation of the mammary gland) develops more often in latently infected cats suffering from excessive colostrum, which, accumulating in the mammary glands, undergoes bacterial decomposition. Mastitis can also be caused simply by a bacterial infection after mechanical damage to the mammary gland (sometimes, for example, it happens that kittens damage their nipples during sucking
  11. Sheep Infectious Mastitis
    Infectious mastitis of sheep (mastitis infectiosa ovium) is an acute contagious disease; manifested by gangrenous lesions of the mammary gland and severe intoxication of the body. Etiology. The main pathogens of the disease are pathogenic staphylococcus - Staphylococcus sureus ovinus and Pasteurells haemelytica of biotypes A and T. Mastitis in sheep can also be caused by other microorganisms and their
  12. Prejudice about mastitis.
    Liliya Kazakova, pediatrician, consultant on breastfeeding. 1. Very often, nursing mothers call mastitis lactostasis. What does lactostasis look like? Painful tuberosity and often redness of the skin over the tubercle. The occurrence of such a tuberosity or compaction is associated with the blockage of one of the ducts with a supposedly fat droplet and a violation of the outflow of milk from the lobe of the gland. Sometimes lactostasis
  13. Mastitis in animals: causes, pathogenesis, signs, classification, treatment and prevention
    Distribution and economic damage from mastitis Mastitis (from the Greek mastos - “nipple”) is an inflammation of the mammary gland, which develops as a result of exposure to the body of the female and her mammary gland of various stress factors: mechanical, chemical, thermal, climatic, biological, etc. Mastitis of cows is very widespread. In Russia, mastitis occurs in
  14. Purulent mastitis of newborns
    DEFINITION Acute inflammation of the breast, complication of physiological engorgement of the mammary glands. EPIDEMIOLOGY Not studied. PREVENTION Compliance with the rules of asepsis and antiseptics. ETIOLOGY The causative agent of purulent mastitis in newborns is staphylococcus. PATHOGENESIS The pathway of purulent infection is through damaged skin and excretory ducts of the skin glands or by the hematogenous route. Usually,
  15. Streptostaphylococcosis (mastitis)
    Streptostaphylococcosis
  16. The use of the probiotic preparation Zimun 1.23 for the treatment of mastitis in cows
    Dmitrieva T.A. Supervisor - Ph.D. vet. Sciences, Assoc. O.L. Savchenko Novosibirsk State Agrarian University, Novosibirsk Cow mastitis is widespread and causes enormous damage to producers due to a decrease in milk productivity and milk quality, premature culling, incidence of newborn calves and treatment costs. Fundamental
  17. You mentioned obstruction of the milk ducts, mastitis and suppuration. How common are these diseases and how to treat them?
    It is not necessary that these diseases be common. After all, they are the result of engorgement of the mammary glands, infrequent breastfeeding or improper attachment of the baby to the breast. They become rare if the “Ten Steps” take place. All of them require immediate assistance. A blocked milk duct looks like a soft red lump. It can happen if one
  18. Any breastfeeding mother who thinks she has a cold may have mastitis.
    FOR PROFESSIONALS: HOW YOU CAN HELP Most mothers are now breastfeeding in a variety of circumstances, and they need the support of experienced professionals such as nursing nurses, pediatricians, family practitioners and medical assistants. We give tips on how you can help them. 1. Believe in breastfeeding. Faith is contagious. More you
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