Puerperal mastitis requiring hospitalization during a nine-year period

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objectives: To review the clinical and microbiologic features of isolates among patients with puerperal mastitis requiring hospitalization. Study Design: Between January 2000 and December 2008, postpartum patients who were hospitalized for mastitis were enrolled. The clinical characteristics, microbiologic results, management, and outcomes were reviewed. Results: One hundred twenty-seven cases were enrolled. Seventy-six patients (59.9%) underwent incision and drainage for abscess drainage, all of whom discontinued breastfeeding. Staphylococcus aureus and coagulase-negative staphylococci were the most common isolates. Among 81 isolates of S aureus, 52 (64.2%) were resistant to oxacillin. Patients undergoing incision and drainage were more likely to discontinue breastfeeding, had a longer duration of symptoms, a longer hospitalization, a higher platelet count and higher rates of infection caused by S aureus and oxacillin-resistant S aureus. Conclusion: Oxacillin-resistant S aureus has emerged in patients with puerperal mastitis during the past decade, and often necessitates incision and drainage, which results in discontinuation of breastfeeding.

Original languageEnglish
Pages (from-to)332.e1-332.e6
JournalAmerican Journal of Obstetrics and Gynecology
Volume203
Issue number4
DOIs
Publication statusPublished - 2010 Jan 1

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Mastitis
Hospitalization
Oxacillin
Drainage
Breast Feeding
Coagulase
Platelet Count
Staphylococcus
Abscess
Postpartum Period
Staphylococcus aureus
Infection

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

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title = "Puerperal mastitis requiring hospitalization during a nine-year period",
abstract = "Objectives: To review the clinical and microbiologic features of isolates among patients with puerperal mastitis requiring hospitalization. Study Design: Between January 2000 and December 2008, postpartum patients who were hospitalized for mastitis were enrolled. The clinical characteristics, microbiologic results, management, and outcomes were reviewed. Results: One hundred twenty-seven cases were enrolled. Seventy-six patients (59.9{\%}) underwent incision and drainage for abscess drainage, all of whom discontinued breastfeeding. Staphylococcus aureus and coagulase-negative staphylococci were the most common isolates. Among 81 isolates of S aureus, 52 (64.2{\%}) were resistant to oxacillin. Patients undergoing incision and drainage were more likely to discontinue breastfeeding, had a longer duration of symptoms, a longer hospitalization, a higher platelet count and higher rates of infection caused by S aureus and oxacillin-resistant S aureus. Conclusion: Oxacillin-resistant S aureus has emerged in patients with puerperal mastitis during the past decade, and often necessitates incision and drainage, which results in discontinuation of breastfeeding.",
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Puerperal mastitis requiring hospitalization during a nine-year period. / Lee, I. Wen; Kang, Lin; Hsu, Hui-Ping; Kuo, Pao-Lin; Chang, Chia-Ming.

In: American Journal of Obstetrics and Gynecology, Vol. 203, No. 4, 01.01.2010, p. 332.e1-332.e6.

Research output: Contribution to journalArticle

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AB - Objectives: To review the clinical and microbiologic features of isolates among patients with puerperal mastitis requiring hospitalization. Study Design: Between January 2000 and December 2008, postpartum patients who were hospitalized for mastitis were enrolled. The clinical characteristics, microbiologic results, management, and outcomes were reviewed. Results: One hundred twenty-seven cases were enrolled. Seventy-six patients (59.9%) underwent incision and drainage for abscess drainage, all of whom discontinued breastfeeding. Staphylococcus aureus and coagulase-negative staphylococci were the most common isolates. Among 81 isolates of S aureus, 52 (64.2%) were resistant to oxacillin. Patients undergoing incision and drainage were more likely to discontinue breastfeeding, had a longer duration of symptoms, a longer hospitalization, a higher platelet count and higher rates of infection caused by S aureus and oxacillin-resistant S aureus. Conclusion: Oxacillin-resistant S aureus has emerged in patients with puerperal mastitis during the past decade, and often necessitates incision and drainage, which results in discontinuation of breastfeeding.

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