Your browser doesn't support javascript.
loading
Puerperal mastitis in the past decade: results of a single institution analysis.
Lukassek, J; Ignatov, A; Faerber, J; Costa, S D; Eggemann, H.
Afiliação
  • Lukassek J; Department of Obstetrics and Gynaecology, Otto-von-Guericke University, Magdeburg, Germany. Julia.lukassek@gmx.de.
  • Ignatov A; , Gottfried-Kellerstrasse 24, 86720, Noerdlingen, Germany. Julia.lukassek@gmx.de.
  • Faerber J; Department of Obstetrics and Gynaecology, Otto-von-Guericke University, Magdeburg, Germany.
  • Costa SD; Department of Medical Microbiology and Hospital Hygiene, Otto-von-Guericke University, Magdeburg, Germany.
  • Eggemann H; Department of Obstetrics and Gynaecology, Otto-von-Guericke University, Magdeburg, Germany.
Arch Gynecol Obstet ; 300(6): 1637-1644, 2019 12.
Article em En | MEDLINE | ID: mdl-31631250
PURPOSE: Although puerperal mastitis is a common disease, published data are poor. Increasing rates of community-acquired MRSA (CA-MRSA) cases are reported in the USA. However, information about common pathogens and CA-MRSA in Germany is still insufficient. The aim of this study was to investigate the most common pathogens of puerperal mastitis in the last decade, its therapy, resistance rate and the effectiveness of the current treatment strategies. METHODS: The pathogens, the respective antibiograms and the treatment strategies of patients treated for puerperal mastits at the University Clinic Magdeburg (Germany) between 2006 and 2016 were retrospectively reviewed. Statistical analysis was performed using SPSS Version 21. RESULTS: In our series, 59 cases with puerperal mastitis were reviewed, 26 (44.1%) of these developed a breast abscess. In 37 of 59 (67.3%) cases the symptoms occurred in the first 8 weeks postpartum. The most common pathogens were Staphylococcus aureus (64.9%) and Coagulase-negative Staphylococcus (13.5%). Methicillin-resistant Staphylococcus aureus (MRSA) was found in one case. Of the 19 cases with Staphylococcus aureus, 17 were resistant to Penicillin. Conservative management was mainly performed with Flucloxacillin (60%), which was successful in most cases. Sixteen of 26 (61.5%) women with abscesses underwent ultrasound (US)-guided needle aspiration. CONCLUSION: In this cohort, MRSA was not a main pathogen responsible for breast abscesses. Conservative treatment strategies remained constant during the observed period and Flucloxacillin was the most frequent antibiotic used. The analysis of the courses of diseases leads to the conclusion that surgical incision is progressively replaced by US-guided needle aspiration.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Puerperais / Mastite Tipo de estudo: Observational_studies Limite: Adult / Female / Humans Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Puerperais / Mastite Tipo de estudo: Observational_studies Limite: Adult / Female / Humans Idioma: En Ano de publicação: 2019 Tipo de documento: Article