Breast Abscess

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Typically occurs in a young lactating or pregnant women who has pain and swelling of the breast with an area of maximal tenderness or fluctuance. Once the diagnosis is made, incision and drainage in theatre under general anaesthesia should be done as they are generally deep abscesses and adequate drainage is advisable under general anaesthesia. Analgesia and antibiotics should be instituted once diagnosis is made.

Preferred therapy:

	Medicine	Dose	Frequency	Duration
	cloxacillin iv	500mg	4 times a day	2 days
then	cloxacillin po	500mg	4 times a day	5 days

Alternative therapy:

	Medicine	Dose	Frequency	Duration
	clindamycin iv	300-600mg	3 times a day	2 days
then	clindamycin po	300-600mg	3 times a day	5 days

The wound should be cleaned with saline or povidone iodine and packed or dressed with glycerine and ichthammol daily until healing occurs. The mother should be advised to continue breastfeeding or to express the breast frequently.