Prevention is the best treatment

  • Aspirate preferably with ultrasound guidance.
  • Local anaesthetic 1% Lignocaine, 14 – 18 gauge needle, irrigate, culture
  • 6 – 8 French pig tail catheter for larger abscesses
  • Anti-inflammatory medication – Ibuprofen 400mg qid for pain
  • Antibiotics – flucloxacillin or dicloxacillin 500 mg 6th hourly 10 days

Follow protocol for treatment of mastitis including

  • Frequent breastfeeding – emptying of breast
  • Comfort measures including warmth (helps oxytocin let-down), cold packs (reduce oedema)
  • Alternate feeding positions
  • Bed rest and reassurance – encourage mother to feed baby in bed
  • Immune factors in the breast milk help to prevent further infection. Be sure to explain this to mother and reassure the feeding from the affected breast.