Breast abscess: evidence based management recommendations
Abstract
Literature review was carried out and studies reporting on treatment of breast abscesses were critically appraised for quality and their level of evidence using the Strength of Recommendation Taxonomy guidelines, and key recommendations were summarized. Needle aspiration either with or without ultrasound guidance should be employed as first line treatment of breast abscesses. This approach has the potential benefits of: superior cosmesis, shorter healing time, and avoidance of general anaesthesia. Multiple aspiration sessions may be required for cure. Ultrasound-guided percutaneous catheter placement may be considered as an alternative approach for treatment of larger abscesses (>3 cm). Surgical incision and drainage should be considered for first line therapy in large (>5 cm), multiloculated, or long standing abscesses, or if percutaneous drainage is unsuccessful. All patients should be treated concurrently with antibiotics. Patients with recurrent subareolar abscesses and fistulas should be referred for consideration of surgical treatment.
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Lam et al. recommended that all patients with breast abscesses should be treated concurrently with antibiotics.
“Lam et al. [19] reviewed the literature on the treatment of breast abscesses, and recommended that all patients with breast abscesses should be treated concurrently with antibiotics.”
From Clinical characteristics of lactational breast abscess caused by methicillin-resistant Staphylococcus aureus: hospital-based study in China (2021) · cites this paper as [19]
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- Authors
- Lam, E., Chan, T., & Wiseman, S. M.
- Affiliations
- University of British Columbia (CA)
- Corresponding author
- Wiseman, Sam M
- Venue
- Expert Review of Anti-infective Therapy
- Publisher
- Informa UK Limited
- Published
- 2014-05-03
- Volume
- 12
- Issue
- 7
- Pages
- 753-762
- ISSN
- 1478-7210 (ISSN-L)
- 1744-8336
- OpenAlex
- W2171367410
- Cited by
- 88
- References
- 44
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 6 · 2023: 14 · 2022: 13 · 2021: 9 · 2020: 14 · 2019: 5 · 2018: 7 · 2017: 5 · 2016: 3 · 2015: 2
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Expert Review of Anti-infective Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Breast Lesions and Carcinomas
- Health Sciences › Medicine › Surgery › Breast Implant and Reconstruction
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
- Keywords
- breast abscess, needle aspiration, ultrasound-guided drainage, percutaneous drainage, incision and drainage, antibiotic therapy, breast fistula, treatment guidelines
- MeSH terms
- Abscess, Breast Diseases, Clinical Trials as Topic, Drainage, Female, Humans, Treatment Outcome, Evidence-Based Medicine, Disease Management
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