Bacterial Profile of Breast Abscess
Nancy Salah Morsi Ibrahim;
Abstract
Mastitis and breast abscess commonly affect women between the age of 18-50 years. It may be related to lactation and called lactational breast abscess, or may occur at any stage of lactation including the second year. However, breast abscesses may occur in non lactating women.
Milk stasis and breast engorgement are the most important predisposing factor for lactational infection; moreover, other general factors which are common for both types whether lactating or not as trauma, chronic disease, presence of septic focus, smoking habits, and surgical intervention.
Common local factors as presence of cracks and fissures around the
nipples.Bacteria isolated included gram positive cocci, gram negative bacilli, some unusual organisms as Mycobacterium tuberculosis, some fungi were also reported.
Moreover, Anaerobic bacteria were isolated from a considerable number of
cases.
Treatment of breast abscess is, classically by incision and drainage under umbrella of antibiotic based on empiric grounds which may lead in some cases to failure of treatment, recurrence and unsatisfactory results.
The present study aimed to monitor the bacterial profile of breast abscess, and to
determine the antimicrobial susceptibility pattern of isolated bacteria.
The study was carried out on 100 women attended the outpatient clinic of surgery in Alexandria main university hospital , were diagnosed as a case of breast abscess and were recommended for excision and drainage. A sample of pus was collected from each patient by a syringe, or by a sterile cotton tipped swab.
Milk stasis and breast engorgement are the most important predisposing factor for lactational infection; moreover, other general factors which are common for both types whether lactating or not as trauma, chronic disease, presence of septic focus, smoking habits, and surgical intervention.
Common local factors as presence of cracks and fissures around the
nipples.Bacteria isolated included gram positive cocci, gram negative bacilli, some unusual organisms as Mycobacterium tuberculosis, some fungi were also reported.
Moreover, Anaerobic bacteria were isolated from a considerable number of
cases.
Treatment of breast abscess is, classically by incision and drainage under umbrella of antibiotic based on empiric grounds which may lead in some cases to failure of treatment, recurrence and unsatisfactory results.
The present study aimed to monitor the bacterial profile of breast abscess, and to
determine the antimicrobial susceptibility pattern of isolated bacteria.
The study was carried out on 100 women attended the outpatient clinic of surgery in Alexandria main university hospital , were diagnosed as a case of breast abscess and were recommended for excision and drainage. A sample of pus was collected from each patient by a syringe, or by a sterile cotton tipped swab.
Other data
| Title | Bacterial Profile of Breast Abscess | Other Titles | الصورة البكتيرية لخراج الثدى | Authors | Nancy Salah Morsi Ibrahim | Issue Date | 2004 |
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