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Cited by 157Breastfeeding Practices and InfluencesBreast Lesions and CarcinomasMilk Quality and Mastitis in Dairy Cows

Breast abscesses in lactating women.

Dener, Cenap, İnan, Aydın·2003·World Journal of Surgery
DOI 10.1007/s00268-002-6563-6
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Abstract

We designed a prospective study to assess the contributing factors in puerperal breast abscess and to evaluate the treatment options. During the 4-year study period, 128 nursing women with breast infection were followed. Of these, 102 had mastitis (80%) and 26 had breast abscess (20%). Ultrasonographic examination was performed in all cases. Patient age, parity, localization of infection, cracked nipples, duration of lactation, duration of symptoms, milk culture results, breast infections during previous lactation period, treatment options, healing time, and recurrence were recorded prospectively. All mastitis patients were treated with antibiotics and none developed an abscess. Ten abscesses were aspirated, and 16 abscesses were treated by incision and drainage. Healing times were similar. There was no significant difference between mastitis and abscess groups regarding age, parity, localization of breast infection, cracked nipples, positive milk cultures, or mean lactation time. Duration of symptoms and healing were longer in cases of abscess. Multivariate analyses showed that duration of symptoms was the only independent variable for abscess development. Recurrent mastitis developed in 13 patients (10.2%) within a median of 24 weeks of follow-up. Delayed treatment of mastitis can lead to abscess formation, and it can be prevented by early antibiotic therapy. Ultrasonography is helpful for detecting abscess formation. In selected cases the abscess can be drained with needle…

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Authors
Dener, C., & İnan, A.
Affiliations
Fatih University (TR)
Venue
World Journal of Surgery
Publisher
Wiley
Published
2003-02
Volume
27
Issue
2
Pages
130-133
ISSN
  • 0364-2313 (ISSN-L)
  • 1432-2323
DOI
10.1007/s00268-002-6563-6
OpenAlex
W2304647047
Cited by
155
References
29
Citations by year
2025: 7 · 2024: 10 · 2023: 10 · 2022: 11 · 2021: 12 · 2020: 13 · 2019: 8 · 2018: 1 · 2017: 11 · 2016: 9 · 2015: 6 · 2014: 7 · 2013: 3 · 2012: 10
FWCI
1.88
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • World Journal of Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Breast Lesions and Carcinomas
  • Life Sciences › Agricultural and Biological Sciences › Agronomy and Crop Science › Milk Quality and Mastitis in Dairy Cows
Keywords
breast abscess, puerperal mastitis, lactating women, risk factors, symptom duration, antibiotic therapy, needle aspiration, incision and drainage, ultrasonography, recurrent mastitis, cracked nipples, milk culture
MeSH terms
Abscess, Adolescent, Adult, Breast Diseases, Drainage, Female, Humans, Mastitis, Prospective Studies, Puerperal Infection, Recurrence, Risk Factors, Suction, Logistic Models

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