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Neonatal mastitis--diagnosis and treatment
M Efrat1, J G Mogilner, M Iujtman
1Pediatric Surgical Unit, Bnai Zion Medical Center, Haifa, Israel.
Israel Journal of Medical Sciences
|September 1, 1995
Summary
Neonatal mastitis, a rare infection, is often caused by Staphylococcus aureus. Prompt antibiotic therapy is effective for about half of affected neonates, potentially avoiding surgery.
Area of Science:
- Pediatrics
- Infectious Diseases
- Neonatology
Background:
- Neonatal mastitis is an infrequent condition affecting newborns.
- It can manifest as mastitis or breast abscess.
Purpose of the Study:
- To evaluate the treatment outcomes for neonatal mastitis.
- To determine the efficacy of antibiotic therapy and surgical interventions.
Main Methods:
- Retrospective review of 21 neonates treated for mastitis between 1985-1992.
- Analysis of causative pathogens, treatment regimens (antibiotics, puncture, incision and drainage), and outcomes.
Main Results:
- Staphylococcus aureus was the predominant pathogen (85%).
- Antibiotic therapy alone led to recovery in approximately 50% of cases.
- For breast abscesses, needle aspiration was as effective as incision and drainage.
Conclusions:
- Aggressive antibiotic therapy is effective in about half of neonatal mastitis cases.
- Early antibiotic treatment may obviate the need for surgical intervention.
- In cases of abscess formation, needle aspiration is a viable alternative to surgical drainage.