Lactational Mastitis

Question 1

what is it

Answer 1

inflammation of breast tissue

Question 2

Causes

Answer 2

Obstruction in the ducts and accumulation of milk during breast feeding
Infection

Question 3

What is the most common causative organism

Answer 3

Staph aureus

Question 4

How does it present

Answer 4

Breast pain - unilateral
Erythema
Local warmth
Nipple discharge
Fever

Question 5

What is the management?

Answer 5

If caused by duct blockage:
- conservative
- continue breastfeeding, expressing and breast massage

If infection:
Antibiotics
Fluconazole

Question 6

What are abx used

Answer 6

Flucloxaccilin
Erythromycin if allergic

Question 7

what is a complication of mastitis

Answer 7

breast abscess

Question 8

When can a candidal infection of the nipple occur

Answer 8

After a course of antibiotics

Question 9

What usually causes recurrent mastitis

Answer 9

Candidal infection

Question 10

How does candida infection of the nipple present?

Answer 10

Sore nipples bilaterally
Nipple tenderness and itching
Cracked, flaky or shiny areola
Sx in baby - nappy rash, white patches in mouth

Question 11

What is treatment of candida of the nipple

Answer 11

Topical miconazole 2% after each breastfeed
PO miconazole gel or nystatin for baby