neonatal mastitis 03
TRANSCRIPT
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BY : Tejasvi CharanML-610
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Neonatal mastitis is the inflammation of the breast tissue that typically occurs up to the age of two months.
It is usually local in nature , can be uni/bilateral.
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Girls : boys -> 2 : 1 Etiology: 85% S. aureus, E. coli, group D Streptococcus (Invasion of the microbes through ducts or
damaged skin via haematogenous route )
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General symptoms : restless, appetite and sleep disturbances.
Local symptoms :tenderness, swelling, Enlarged breast bud hyperemia, local rise in temperature, fluctuationPurulent nipple discharge may be present “witch’s milk”The axillary lymph nodes may be enlarged and tender.
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Anamnesis CBC Urinalysis Ultrasound Incision and drainage material (gram stain
and culture )
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Conservative : Antibiotics ( clinadamycin and vancomycin
for MRSA ) Oxacillin (100 – 200mg/kg/day in 4 divided
doses ). Acetaminophen 10 to 15 mg/kg every 4 to 6
hours, not to exceed five doses (50-75 mg/kg) in 24 hours
Antiseptic compresses, Ointment dressings Physiotherapy
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Surgical : incision and drainage (incise in radial direction, the indentation of
3-4 mm from the areola over an area of softening). Bandage with hypertonic saline (0.02% chlorhexidine-bigluconate) for 2-3 hours, then replacing it with an ointment.