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. 2020 Apr 10;15(1):26.
doi: 10.1186/s13006-020-00271-2.

The estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the Douala General Hospital, Cameroon

Thomas Obinchemti Egbe  1   2 , Theophile Nana Njamen  3   4 , Henri Essome  5   6 , Nicholas Tendongfor  3
Affiliations

The estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the Douala General Hospital, Cameroon

Thomas Obinchemti Egbe et al. Int Breastfeed J. .

Abstract

Background: Lactational breast abscesses are uncommon in the puerperium but when they do develop, delays in specialist referral may occur especially in resource low settings. There is a dearth of studies regarding lactational breast abscesses in Cameroon. We aimed to estimate the incidence of lactational breast abscess and describe its management by percutaneous aspiration at the Douala General Hospital, Cameroon.

Methods: We conducted an observational prospective study of 25 breastfeeding women at the Douala General Hospital from January 1, 2015, to October 31, 2015. Participants were consenting breastfeeding women who completed a baseline questionnaire after diagnosis of lactational breast abscesses and underwent percutaneous needle aspiration under local anaesthesia. Data were analyzed by using descriptive statistics.

Results: The estimated incidence of lactational breast abscesses was 0.74% (28/3792). The age range of babies at the onset of breast abscess was 4 to 35 weeks; mean 28.3 ± 10.85 weeks. Forty-four per cent of participants underwent three lactational abscess aspirations and in 24 to 28% of them, it took 8 to 9 days for the abscess to resolve. In 72% of participants, treatment was with needle aspiration plus flucloxacillin. Seventy-six per cent of participants continued breastfeeding after abscess treatment.

Conclusion: The estimated incidence of lactational breast abscess at the Douala General Hospital is 0.74%. Percutaneous needle aspiration under local anaesthesia is an effective treatment for superficial lactational breast abscesses in most cases with or without ultrasound guidance and should be recommended worldwide as first line treatment. Further research is needed to understand the outcome of local infiltration of antibiotics on the abscess cavity.

Keywords: Abscess; And mastitis; Breast; Breastfeeding; Drainage; Lactation.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Lactational breast abscess. Aspiration of pus with a 14-gauge needle mounted on a 20 mL syringe
Fig. 2
Fig. 2
Flow diagram of lactational breast abscess
See this image and copyright information in PMC

References

    1. Amir LH, Forster D, McLachlan H, Lumley J. Incidence of breast abscess in lactating women: report from an Australian cohort. BJOG. 2004;111:1378–1381. doi: 10.1111/j.1471-0528.2004.00272.x. - DOI - PubMed
    1. Amir LH, Academy of Breastfeeding Medicine Protocol Committee ABM clinical protocol# 4: Mastitis, revised March 2014. Breastfeed Med. 2014;9:239–243. doi: 10.1089/bfm.2014.9984. - DOI - PMC - PubMed
    1. Dixon JM, Khan LR. Treatment of breast infection. BMJ. 2011;342:d396. doi: 10.1136/bmj.d396. - DOI - PubMed
    1. Dabbas N, Chand M, Pallett A, Royle GT, Sainsbury R. Have the organisms that cause breast abscess changed with time?––implications for appropriate antibiotic usage in primary and secondary care. Breast J. 2010;16:412–415. - PubMed
    1. Dener C, Inan A. Breast abscesses in lactating women. World J Surg. 2003;27:130–133. doi: 10.1007/s00268-002-6563-6. - DOI - PubMed

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