Mastitis

Question 1

Mastitis Onset and Incidence

Answer 1

Incidence: 5% of lactating patients
Onset: 2-3 weeks postpartum
Risk factors: Stasis of milk, Nipple trauma

Question 2

Mastitis causative agent

Answer 2

usually Staphylococcus aureus

Question 3

Treatments of mastitis

Answer 3

Non pharmacologic: Continue breastfeeding Massage breasts Cold compresses Supportive bra

Pharmacologic: NSAIDS/ACETAMINOPHEN
Dicloxacillin 500mg four times a day
Cephalaxin 500mg four times a day
Clindamycin 300-450mg three times a day

Question 4

Mastalgia treatment

Answer 4

Bromocriptine(especially for cyclical pain)
•Danazol: side effects of amenorrhea, weight gain, acne and hirsutism.
•Tamoxifen: studied to be effective in Italy, not FDA approved for this indication in US
•Non steroidal anti-inflammatory agents