Neonatal mastitis 03

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  • 1. BY : Tejasvi Charan ML-610
  • 2.  Neonatal mastitis is the inflammation of the breast tissue that typically occurs up to the age of two months. It is usually local in nature , can be uni/bilateral.
  • 3.  Girls : boys -> 2 : 1 Etiology: 85% S. aureus, E. coli, group D Streptococcus (Invasion of the microbes through ducts or damaged skin via haematogenous route )
  • 4.  General symptoms : restless, appetite and sleep disturbances.Local symptoms :tenderness,swelling,Enlarged breast budhyperemia,local rise in temperature,fluctuationPurulent nipple discharge may be present “witch’s milk”The axillary lymph nodes may be enlarged and tender.
  • 5.  Anamnesis CBC Urinalysis Ultrasound Incision and drainage material (gram stain and culture )
  • 6.  Conservative : Antibiotics ( clinadamycin and vancomycin for MRSA ) Oxacillin (100 – 200mg/kg/day in 4 divided doses ). Acetaminophen 10 to 15 mg/kg every 4 to 6 hours, not to exceed five doses (50-75 mg/kg) in 24 hours Antiseptic compresses, Ointment dressings Physiotherapy
  • 7.  Surgical : incision and drainage (incise in radial direction, the indentation of 3-4 mm from the areola over an area of ​softening). Bandage with hypertonic saline (0.02% chlorhexidine-bigluconate) for 2-3 hours, then replacing it with an ointment.