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[Mastitis in general practice. Is bacteriologic examination useful?].

O Aabø1, I Matheson, I Aursnes

  • 1Furuset Helsesenter, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 20, 1990
PubMed
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Mastitis in breastfeeding women is often linked to Staphylococcus aureus. Bacterial analysis of breast milk is most valuable for severe cases involving suspected betalactamase producing Staphylococcus aureus.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Microbiology

Background:

  • Mastitis is a common condition affecting breastfeeding women.
  • Accurate diagnosis and treatment are crucial for favorable outcomes.

Purpose of the Study:

  • To investigate the clinical and bacteriological factors associated with mastitis outcomes.
  • To determine the utility of breast milk bacteriology in managing mastitis.

Main Methods:

  • A 22-month study involving 43 women with mastitis.
  • Clinical data, breast milk bacterial findings, and treatment outcomes were recorded.
  • Comparison of patients with favorable vs. unfavorable outcomes (abscess, relapse).

Main Results:

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  • Unfavorable outcomes were associated with higher symptom scores and Staphylococcus aureus isolation.
  • Staphylococcus aureus was more prevalent in affected breasts compared to unaffected and control samples.
  • Most Staphylococcus aureus strains (70%) were betalactamase producers; predictive value of bacteriology was low.

    • Conclusions:

    • Bacteriological examination of breast milk is indicated for severe mastitis, recurrent cases, and when betalactamase producing Staphylococcus aureus is suspected.
    • Early identification of specific pathogens can guide targeted antibiotic therapy.
    • Further research may explore novel diagnostic markers for mastitis.