Community-Acquired Methicillin-Resistant Staphylococcus aureus Among Patients With Puerperal Mastitis Requiring Hospitalization
Abstract
Objective To estimate the incidence of puerperal mastitis requiring hospital admission and to describe demographic and obstetric risk factors for this condition. We also sought to identify trends in bacteriology among isolates obtained from breast abscesses and breast-milk aspirates, with a focus on treatment strategies used for community-acquired methicillin-resistant Staphylococcus aureus (MRSA). Methods Patients with puerperal mastitis who were admitted to a county-based teaching hospital between January 1997 and December 2005 were identified by International Classification of Diseases, 9th Revision, codes (675.1, 675.2). Data collected included demographic characteristics, clinical presentation, treatment, duration of admission, premorbid antibiotic exposure, and bacteriology. Demographic variables and obstetric outcomes were compared with all other pregnant women delivered at our hospital. Results One hundred twenty-seven of 136,459 women delivered at our teaching hospital were admitted for puerperal mastitis (9.3 [95% confidence interval (CI) 7.8-11.1] per 10,000 deliveries). The incidence of mastitis only during the study period was 6.7 (95% CI 5.4-8.3) per 10,000 deliveries, and the incidence of mastitis with breast abscess was 2.6 (95% CI 1.8-3.6) per 10,000 deliveries. Puerperal mastitis was significantly associated with younger women (23.4 years compared with 25.1 years, P Conclusion Community-acquired MRSA was most commonly associated with breast abscess. The empi…
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In recent years, the detection rate of MRSA in the breast milk and pus of lactating patients has gradually increased.
“In recent years, the detection rate of MRSA in the breast milk and pus of lactating patients has gradually increased [2, 3, 5].”
From Clinical characteristics of lactational breast abscess caused by methicillin-resistant Staphylococcus aureus: hospital-based study in China (2021) · cites this paper as [2]
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- Authors
- Stafford, I., Hernandez, J., Laibl, V., Sheffield, J., Roberts, S., & Wendel, G.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- Venue
- Obstetrics & Gynecology
- Published
- 2008-09
- Volume
- 112
- Issue
- 3
- Pages
- 533-537
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W2056707855
- Cited by
- 62
- References
- 5
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 6 · 2019: 7 · 2018: 1 · 2016: 2 · 2015: 2 · 2014: 6 · 2013: 8 · 2012: 2
- FWCI
- 3.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
- Life Sciences › Agricultural and Biological Sciences › Agronomy and Crop Science › Milk Quality and Mastitis in Dairy Cows
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Keywords
- puerperal mastitis, community-associated methicillin-resistant Staphylococcus aureus, breast abscess, mastitis incidence, risk factors, parity, antibiotic therapy, empirical antibiotic therapy, hospitalization
- MeSH terms
- Abscess, Adult, Female, Hospitals, Teaching, Humans, Mastitis, Puerperal Infection, Staphylococcal Infections, Staphylococcus aureus, Texas, Incidence, Methicillin Resistance, Community-Acquired Infections
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