Suppurative mastitis of newborn clinical manifestation and therapy

Unfortunately suffer from after suppurative mastitis of newborn, the vast majority of acute suppurative: mother found the baby\'s initial symptoms often cry, fever, systemic symptoms such as poor infants, and to the baby when you bathe or change clothes, finds a side or double-sided breast irritation, or swelling of the breast (from the effects of mothers during pregnancy endocrine) skin color red have tenderness. Specific to each disease infants, breast swelling is has severity difference: typical of performance is-patient milk swelling range diameter about 4-5cm size, boundary does not very clearly, touch of slightly hard and has obvious tenderness, is located in swelling area Center of nipple sometimes is mild SAG, suppurative time more early, by 3-5 days (large age children suppurative time General for 6-7 days) affected Department is may appears fluctuations sense or Center variable soft, description has has pus liquid accumulation or has suppurative necrosis organization formation.

Few children response more strongly, breast swelling range is large, spread around the chest wall, and systemic symptoms more prominent, doctor called cellulitis conditions heavier, may be complicated with sepsis, suppurative may appear relatively late, not even festering pus or less.

Some systemic symptoms not evident in children, and even business as usual, parents often ignored, they say when the baby got sick, to diagnosis, the doctor finds over swelling in children\'s Center has ruptured a discharge. Individual children with subacute or chronic, pain in breast tumor range is small, about 3cm in size, inflammation can last for 1-2 months less, and rarely purulent or only a small amount of pus.

Treatment: to the inflamed area larger, systemic symptoms more obvious, or bilateral disease should be intravenous drip of antibiotics, and the best selection of strong, good effect, suitable for the application of antibiotics in neonates, or according to selected pus culture-sensitive antibiotics. Attention! Even medical conditions are poor regions, also good to use as possible than penicillin antibiotics such as ampicillin, combination, and nafcillin. Light condition or convalescent patients can use oral antibiotics.

Where an accumulation of pus, drainage as early as possible, both the drainage of pus, incision and drainage of still, try to avoid injury to the nipple and areola area. Even so, a small number of incision and drainage of drainage children, due to local scarring can cause nipple retraction; while the baby is likely to affect future breast secretion, so imposing a view of incision and drainage in the treatment of children with follow-up investigations.

The majority of the treatment can be completed in the hospital emergency department or community health stations, cellulitis or suspected in preterm infants with sepsis and should be hospitalized. After treatment, the vast majority of patients can recover.