A postpaum woman has acute puerperal mastitis. Which of the following statements is true?
Acute puerperal mastitis Most common organism- Staphylococcus aureus inoculated into maternal breasts through the baby's nasopharynx. Symptoms and signs Fever with chills, myalgia, malaise Engorged and tender breast Mostly unilateral Approximately 10 percent of women with mastitis develop an abscess which requires incision and drainage. Rx- Dicloxacillin, 500 mg orally four times daily, may be staed empirically. Erythromycin is given to women who are penicillin hypersensitive
The initial treatment is tetracyclines
The source of the infection is usually the infant's gastrointestinal tract
Frank abscesses may develop and require drainage
The most common offending organism is Escherichia coli.
Puerperium