Journal of Human Lactation

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

http://www.medelabreastfeedingus.com/for-professionals

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Eglash, A.
Right arrow Articles by Mundt, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Eglash, A.
Right arrow Articles by Mundt, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Journal of Human Lactation, Vol. 22, No. 4, 429-433 (2006)
DOI: 10.1177/0890334406293431

History, Physical and Laboratory Findings, and Clinical Outcomes of Lactating Women Treated With Antibiotics for Chronic Breast and/or Nipple Pain

Anne Eglash, MD

University of Wisconsin Medical School, Meriter Hospital Outpatient Lactation Clinic, Mt. Horeb, Wisconsin

Mary Beth Plane, PhD, MSSW

Department of Family Medicine at the University of Wisconsin Medical School, Madison

Marlon Mundt, MS

Department of Family Medicine at the University of Wisconsin Medical School, Madison

This chart review study describes the history, physical and laboratory findings, and clinical outcomes in patients who presented to a lactation specialist between 1997 and 2002 and were treated with antibiotics for their chronic breast and/or nipple pain. A total of 69 charts were reviewed. Five were excluded because of loss of follow-up. Eighty-two percent of patients described postpartum breast tenderness, 74% had nipple sores postpartum, and 79% were tender on physical examination. Nipple lesions were present among 73% of the women. Breast milk or nipple cultures were performed for 60 of 64 patients and were positive for pathogenic bacteria among 50% of the patients cultured. The average duration of antibiotic treatment was 5.7 weeks, and 94% of the women had pain resolution. Symptoms of deep breast aching, breast tenderness on palpation, and nipple lesions may be suggestive of a bacterial lactiferous duct infection. Treatment with antibiotics for 4 to 6 weeks may be appropriate.

Key Words: breast pain • mastitis • breast milk cultures

References

  • Heinig MJ, Francis J, Pappagianis D. Mammary candidosis in lactating women. J Hum Lact. 1999;15: 281-288.[Abstract/Free Full Text]
  • Amir L, Garland S, Dennerstein L, Farish S. Candida albicans: is it associated with nipple pain in lactating women? Gynecol Obstet Invest. 1996;41: 30-34.[Medline] [Order article via Infotrieve]
  • Lawrence RA, Lawrence RM. Breastfeeding: A Guide for the Medical Profession. 5th ed. St. Louis, Mo: Mosby; 1999.
  • Thomassen P, Johansson V, Wassberg C, Petrini B. Breastfeeding, pain and infection. Gynecol Obstet Invest. 1998;46: 73-74.[CrossRef][Medline] [Order article via Infotrieve]
  • Morrill JF, Pappagianis D, Heinig MJ, Lonnerdal B, Dewey KG. Detecting Candida albicans in human milk. J Clin Microbiol. 2003; 41: 475-478.[Abstract/Free Full Text]
  • Graves S, Wright W, Harman R, Bailey S. Painful nipples in nursing mothers: fungal or staphylococcal? Aust Fam Physician. 2003;32: 570-571.[Medline] [Order article via Infotrieve]
  • Livingstone V. Staphylococcus aureus and sore nipples. Can Fam Physician. 1996;42: 654-659.[Medline] [Order article via Infotrieve]
  • Foxman B, D’Arcy H, Gillespie B, Bobo J, Schwartz K. Lactation mastitis: occurrence and medical management among 946 breastfeeding women in the United States. Am J Epidemiol. 2002;155;115-116.[Free Full Text]
  • Thomsen A, Hansen KB, Moller B. Leukocyte counts and microbiologic cultivation in the diagnosis of puerperal mastitis. Am J Obstet Gynecol. 1983;15: 938-941.
  • Barbosa-Cesnik C, Schwartz K, Foxman B. Lactation mastitis. JAMA. 2003;289: 1609-1612.[Free Full Text]
  • Riordan J, Nichols F. A descriptive study of lactation mastitis in long-term breastfeeding women. J Hum Lact. 1990;6: 53-58.[Abstract/Free Full Text]
  • Kaufmann R, Foxman B. Mastitis among lactating women: occurrence and risk factors. Soc Sci Med. 1991;33: 701-705.[CrossRef][Medline] [Order article via Infotrieve]
  • Fetherston C. Risk factors for lactation mastitis. J Hum Lact. 1998; 14: 101-109.[Abstract/Free Full Text]
  • Osterman K, Rahm V. Lactation mastitis: bacterial cultivation of breast milk, symptoms, treatment, and outcome. J Hum Lact. 2000;16: 297-302.[Abstract]
  • Buescher E, Hair P. Human milk anti-inflammatory component contents during acute mastitis. Cell Immunol. 2001:210: 87S-95S.
  • Neibyl JR, Spence MR, Parmley TH. Sporadic (nonepidemic) puerperal mastitis. J Reprod Med. 1978;20: 97-100.[Medline] [Order article via Infotrieve]
  • Mandell GL, Douglas KG, Bennett JE. Principles and Practices of Infectious Diseases. 5th ed. New York, NY: Churchill Livingstone; 2000.

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Eglash, A.
Right arrow Articles by Mundt, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Eglash, A.
Right arrow Articles by Mundt, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?