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.
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 )
General symptoms : restless, appetite and sleep disturbances.Local symptoms :tenderness,swelling,Enlarged breast budhyperemia,local rise in temperature,fluctuationPurulent nipple discharge may be present “witch’s milk”The axillary lymph nodes may be enlarged and tender.
Anamnesis CBC Urinalysis Ultrasound Incision and drainage material (gram stain and culture )
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
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.