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Breast abscess during the neonatal period. A review

R C Rudoy, J D Nelson

    American Journal of Diseases of Children (1960)
    |September 1, 1975
    PubMed

    Insights

    Neonatal breast abscesses, primarily caused by Staphylococcus aureus, are common in infants within the first three weeks of life. While more frequent in girls after two weeks, early incidence is equal between sexes.

    Area of Science:

    • Neonatal care
    • Pediatric infectious diseases
    • Dermatology

    Background:

    • Breast abscesses in neonates are relatively uncommon but can cause significant concern.
    • Understanding the epidemiology and causative agents is crucial for appropriate management.

    Purpose of the Study:

    • To investigate the clinical characteristics, incidence, and microbiological profile of breast abscesses in a cohort of infants.
    • To identify risk factors and common pathogens associated with neonatal breast abscesses.

    Main Methods:

    • Retrospective analysis of 39 infants diagnosed with breast abscess.
    • Clinical data collection including age, sex, lesion development, systemic manifestations, and microbiological cultures.
    • Follow-up assessment for long-term outcomes.

    Main Results:

    • Eighty-four percent of abscesses occurred within the first three weeks of life.
    • Staphylococcus aureus was the predominant pathogen (32/36 cultures), with other bacteria including Salmonella and Escherichia coli.
    • Systemic manifestations were infrequent, with fever (≥38.3°C) in 25.7% of cases.

    Conclusions:

    • Neonatal breast abscesses are typically monomicrobial, with S. aureus being the most common isolate.
    • The majority of cases develop early in infancy, with a higher incidence in girls after the first two weeks.
    • Prompt diagnosis and appropriate antimicrobial therapy are essential for managing this condition.

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