Canterbury DHB

Context

Mastitis/ Acute Breast Abscess

Pathogens

Drug Treatment

Empiric

If moderate or severe give IV treatment.

Lactating

flucloxacillin

HMLSchedNZFPMLnoids

PO 1000 mg three times a day

Mild penicillin allergy

cefalexin

HMLSchedNZFPML

PO 500 mg four times a day

Severe penicillin allergy

clindamycin

HMLSchedNZFPMLnoids

PO 450 mg three times a day

Non-lactating

amoxicillin+clavulanic acid

HMLSchedNZFPMLnoids

PO 500 mg/125 mg three times a day

Mild penicillin allergy

cefalexin

HMLSchedNZFPML

PO 500 mg four times a day

AND if anaerobes suspected (i.e. subareolar and malodorous):

metronidazole

HMLSchedNZFPMLnoids

PO 600 mg twice a day.

Severe penicillin allergy

clindamycin

HMLSchedNZFPMLnoids

PO 450 mg three times a day

Pathogens Known

Diphtheroids (non-lactating)

Consult Infectious Diseases, and give:

doxycycline

HMLSchedNZFPML

PO 200 mg on day 1 then PO 100 mg once a day

If pregnant or lactating

Consult Infectious Diseases/Clinical Microbiology.

Information about this Canterbury DHB document (99267):

Document Owner:

Not assigned (see Who's Who)

Last Updated:

March 2018 (Skin and Soft Tissue)

Next Review Due:

March 2021

Keywords:

Note: Only the electronic version is controlled. Once printed, this is no longer a controlled document.

Topic Code: 99267