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Telephone-based management of lactation mastitis
Wendy L Berth1, Charles W Schauberger, Mary A Alvarado
1Department of Obstetrics and Gynecology, Gundersen Lutheran Medical Center, La Crosse, Wisconsin, USA.
Objective:
To evaluate the quality of care for mastitis managed by telephone without an office or emergency room visit.
Study Design:
A word search of electronic medical records allowed for identification of patients managed with a mastitis clinical practice guideline. Comparisons of outcomes were made to a group of patients who received care in the clinic, urgent care or emergency room.
Results:
Rates of successful resolution with 1 encounter were 86% for telephone-based care and 82% for visit-based care (p = 0.550). Antibiotic selection was enhanced by use of the standing order.
Conclusion:
Telephone-based management of mastitis may be safe, effective, and efficient.
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