A prospective study of the microflora of nonpuerperal breast abscess.
Arch Surg
; 123(7): 908-11, 1988 Jul.
Article
en En
| MEDLINE
| ID: mdl-3382358
ABSTRACT
The majority of reports concerning nonpuerperal breast abscess (NPBA) identify aerobic and facultative bacterial isolates as the predominant flora in this disease. In the present study, fine-needle aspiration was performed in 29 women with NPBA; 12 (41%) of the patients had a history of chronic NPBA. The mean age of patients was 39.2 years. The aspirated material was cultured both anaerobically and aerobically. A total of 108 bacterial strains were recovered from 32 specimens; two specimens yielded no bacterial growth. A mean of 3.6 different bacteria were recovered from each culture-positive specimen. Anaerobic recovery outweighed aerobic-facultative recovery by a factor of 21. Significantly, 37 strains (five aerobes and 32 anaerobes) were harvested only from enriched broth subcultured for four to 14 days after initial culture processing. Coagulase-negative staphylococci (60% of total aerobes) and peptostreptococci (47% of total anaerobes) were the predominant bacterial isolates. These findings indicate that NPBA is due to a mixed flora with a major anaerobic component. Furthermore, the results suggest that routine cultures often overlook the involvement of anaerobes in these infections.
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Banco de datos:
MEDLINE
Asunto principal:
Enfermedades de la Mama
/
Absceso
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Middle aged
Idioma:
En
Año:
1988
Tipo del documento:
Article