[Treatment experience with acute suppurative lactation mastitis]

Area of Science:

• Obstetrics and Gynecology
• Infectious Diseases
• Public Health

Context:

• Acute suppurative lactation mastitis affects breastfeeding women.
• Lactastasis and nipple cracks are identified as primary etiological factors.
• Analysis of 518 patient cases provides insights into disease progression.

Purpose:

• To analyze the treatment outcomes for acute suppurative lactation mastitis.
• To identify key factors contributing to the development of lactation mastitis.
• To evaluate the efficacy of complex therapeutic approaches.

Summary:

• Lactastasis and nipple cracks are primary causes of acute suppurative lactation mastitis.
• The study observed various forms: infiltrative (1.2%), abscess (69.2%), phlegmonous (27.2%), and gangrenous (2%).
• Sepsis occurred in 9.4% of patients, highlighting the potential for severe complications.

Impact:

• Recommends a complex therapeutic strategy involving broad-spectrum antibiotics, infusive therapy with forced diuresis, and immunologic drugs.
• Highlights the importance of addressing lactastasis and nipple cracks to prevent mastitis.
• Provides data on the prevalence of different mastitis forms and associated sepsis risk.