Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Apr 9:46:e-rbgo34.
doi: 10.61622/rbgo/2024rbgo34. eCollection 2024.

Bacteriological characteristics of primary breast abscesses in patients from the community in the era of microbial resistance

Vicente Sperb Antonello  1 , Jessica Dallé  1 , Mirela Foresti Jimenez  1 , Patrícia Tramontini  1 , Andrei Gustavo Reginatto  1
Affiliations

Bacteriological characteristics of primary breast abscesses in patients from the community in the era of microbial resistance

Vicente Sperb Antonello et al. Rev Bras Ginecol Obstet. .

Abstract

Objective: The aim of this study is to evaluate the etiological profile and antimicrobial resistance in breast abscess cultures from patients from the community, treated at a public hospital located in Porto Alegre, Brazil.

Methods: This is an retrospective cross-sectional study that evaluated the medical records of patients with bacterial isolates in breast abscess secretion cultures and their antibiograms, from January 2010 to August 2022.

Results: Based on 129 positive cultures from women from the community diagnosed with breast abscesses and treated at Fêmina Hospital, 99 (76.7%) of the patients had positive cultures for Staphylococcus sp, 91 (92%) of which were cases of Staphylococcus aureus. Regarding the resistance profile of S. aureus, 32% of the strains were resistant to clindamycin, 26% to oxacillin and 5% to trimethoprim-sulfamethoxazole. The antimicrobials vancomycin, linezolid and tigecycline did not show resistance for S. aureus.

Conclusion: Staphylococcus aureus was the most common pathogen found in the breast abscess isolates during the study period. Oxacillin remains a good option for hospitalized patients. The use of sulfamethoxazole plus trimethoprim should be considered as a good option for use at home, due to its low bacterial resistance, effectiveness and low cost.

Keywords: Abscess;; Breast diseases; Microbial drug resistance; Staphylococcus aureus; Sulfamethoxazole.

PubMed Disclaimer

Conflict of interest statement

Conflicts to interest: none to declare.

Figures

Figure 1
Figure 1. Flow diagram of included and excluded patients in the study
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Dener C, Inan A. Breast abscesses in lactating women. Breast abscesses in lactating women. 2003;27(2):130–133. doi: 10.1007/s00268-002-6563-6. - DOI - PubMed
    1. Meguid MM, Oler A, Numann PJ, Khan S. Pathogenesis-based treatment of recurring subareolar breast abscesses. Pathogenesis-based treatment of recurring subareolar breast abscesses. 1995;118(4):775–782. doi: 10.1016/s0039-6060(05)80049-2. - DOI - PubMed
    1. Watt-Boolsen S, Rasmussen NR, Blichert-Toft M. Primary periareolar abscess in the nonlactating breast: risk of recurrence. Primary periareolar abscess in the nonlactating breast: risk of recurrence. 1987;153(6):571–573. doi: 10.1016/0002-9610(87)90158-9. - DOI - PubMed
    1. Bharat A, Gao F, Aft RL, Gillanders WE, Eberlein TJ, Margenthaler JA. Predictors of primary breast abscesses and recurrence. Predictors of primary breast abscesses and recurrence. 2009;33(12):2582–2586. doi: 10.1007/s00268-009-0170-8. - DOI - PMC - PubMed
    1. Moazzez A, Kelso RL, Towfigh S, Sohn H, Berne TV, Mason RJ. Breast abscess bacteriologic features in the era of community-acquired methicillin-resistant Staphylococcus aureus epidemics. Breast abscess bacteriologic features in the era of community-acquired methicillin-resistant Staphylococcus aureus epidemics. 2007;142(9):881–884. doi: 10.1001/archsurg.142.9.881. - DOI - PubMed

MeSH terms

LinkOut - more resources