Lactation mastitis: bacterial cultivation of breast milk, symptoms, treatment, and outcome.
Abstract
The aim of this prospective study was to compare serum C-reactive protein (CRP) and leukocytes, hemoglobin, clinical signs, treatment, and outcome among 41 episodes of lactation mastitis grouped by the outcome of bacterial cultivation of breast milk. Group A included 25 cases with positive cultures only for bacteria normally present on skin. Group B included 16 cases in which cultures indicated the presence of potentially pathogenic bacteria. Serious complications were observed among women in group B, including protracted illness and weaning. No complications were observed in group A. Staphylococcus aureus was the most frequently isolated bacteria in group B. Mean serum leukocytes were significantly higher in group B than in group A. Although CRP levels in both groups were elevated, no significant difference was found between groups. Rest and frequent emptying of the breast were curative in group A. Further interventions were necessary for mothers in group B.
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Growth of potentially pathogenic bacteria such as β-hemolytic streptococci or Staphylococcus aureus in breast milk cultures is associated with longer time to recovery and more frequent abscess formation.
“Although breast milk cultures are not routine in PPM management, the growth of potentially pathogenic bacteria (such as β-hemolytic streptococci or Staphylococcus aureus) is associated with longer time to recovery and more frequent abscess formation (3).”
From Postpartum Mastitis and Community-acquired Methicillin-resistant<i>Staphylococcus aureus</i> (2007) · cites this paper as [3]
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Breast milk, a source of beneficial microbes and associated benefits for infant health
Lyons, K. E., Ryan, C. A., Dempsey, E. M., Ross, R. P., & Stanton, C. (2020) · Nutrients · doi:10.3390/nu12041039 · Cited by 613 · see citing works
Barbosa-Cesnik, C., Schwartz, K., & Foxman, B. (2003) · JAMA · doi:10.1001/jama.289.13.1609 · Cited by 105 · see citing works
Postpartum Mastitis and Community-acquired Methicillin-resistant<i>Staphylococcus aureus</i>
Reddy, P., Qi, C., Zembower, T., Noskin, G. A., & Bolon, M. (2007) · Emerging Infectious Diseases · doi:10.3201/eid1302.060989 · Cited by 69 · see citing works
- Authors
- Osterman, K. L., & Rahm, V.-A.
- Affiliations
- Department of Obstetrics and Gynecology, Hudiksvall Hospital, 824 81 Hudiksvall, Sweden.
- Region Gävleborg (SE)
- Venue
- Journal of Human Lactation
- Publisher
- SAGE Publications
- Published
- 2000-11
- Volume
- 16
- Issue
- 4
- Pages
- 297-302
- ISSN
- 0890-3344 (ISSN-L)
- 1552-5732
- OpenAlex
- W2103823200
- Cited by
- 120
- References
- 0
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 7 · 2022: 8 · 2021: 5 · 2020: 6 · 2019: 5 · 2018: 4 · 2017: 2 · 2016: 7 · 2015: 11 · 2014: 8 · 2013: 4 · 2012: 3
- FWCI
- 1.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Human Lactation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Life Sciences › Agricultural and Biological Sciences › Agronomy and Crop Science › Milk Quality and Mastitis in Dairy Cows
- Health Sciences › Medicine › Pathology and Forensic Medicine › Breast Lesions and Carcinomas
- Keywords
- lactation mastitis, skin commensal bacteria, potentially pathogenic bacteria, Staphylococcus aureus, C-reactive protein, mastitis treatment, weaning
- MeSH terms
- Adult, C-Reactive Protein, Female, Humans, Infant, Newborn, Mastitis, Milk, Human, Penicillins, Prospective Studies, Staphylococcal Infections, Treatment Outcome
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