Mastitis

Question 1

What is usually the causative agent in mastitis?

Answer 1

Staphylococcus Aureus

Question 2

Since infection in the nonlactating breast is rare, what must always be considered?

Answer 2

Inflammatory Carcinoma

Question 3

What is indicated in the infection of the nonlactating breast when non responsive to antibiotics?

Answer 3

Biopsy

Question 4

What occurs sporadically in nursing mothers, usually with symptom onset after discharge from the hospital?

Answer 4

Postpartum Mastitis

Question 5

These are signs and symptoms of what?

1. frequently within 3 months post delivery
2. starts with engorged breast and sore or fissured nipple
3. cellulitis typically unilateral
   a. affected area of breast red, tender, and warm
4. fever and chills common

Answer 5

Mastitis

Question 6

A breast ultrasound is used to evaluate for what in mastitis?

Answer 6

Abscess

Question 7

What medication is used to cover MSSA mastitis?

Answer 7

Cephalexin (Keflex) 500g PO QID x10-14 days
OR
Clindamycin 300mg PO TID 5-14 days

Question 8

What medication is used to cover MRSA mastitis?

Answer 8

Trimethoprim/sulfamethoxazole (Bactrim) 160mg TMP PO q 12hrs 5-14 days
OR
Clindamycin 300-450mg PO TID 5-14 days

Question 9

True or False

Regular emptying of the breast with breastfeeding, pumping or hand expression is a valid treatment for mastitis

Answer 9

True

Question 10

What medication is preferred for pain and inflammation management because it is safe in lactation?

Answer 10

Motrin

Question 11

Patients with mastitis should follow up within how many hours to ensure clinical improvement?

Answer 11

48hrs