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Archives of Gynecology and Obstetrics

, Volume 300, Issue 6, pp 1637–1644 | Cite as

Puerperal mastitis in the past decade: results of a single institution analysis

  • J. LukassekEmail author
  • A. Ignatov
  • J. Faerber
  • S. D. Costa
  • H. Eggemann
General Gynecology

Abstract

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.

Keywords

Lactational breast abscess MRSA Puerperal mastitis Ultrasound-guided needle aspiration 

Notes

Author contribution

J. Lukassek: data collection, statistical analysis, manuscript writing. A.Ignatov: data management, manuscript writing and editing.J. Faerber: data management, manuscript editing.S.D. Costa: manuscript editing. H. Eggemann: protocol development, data management, manuscript writing and editing.

Compliance with ethical standards

Conflict of interest

We declare that we have no conflict of interest.

Ethical approval

Due to the retrospective design of the study ethical approval is not applicable.

Informed consent

Due to the retrospective design of the study an informed consent is not applicable.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyOtto-von-Guericke UniversityMagdeburgGermany
  2. 2.Department of Medical Microbiology and Hospital Hygiene, Otto-von-Guericke UniversityMagdeburgGermany
  3. 3.NoerdlingenGermany

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