The estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the Douala General Hospital, Cameroon
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 o...
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| Format: | Article |
| Language: | English |
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BMC
2020-04-01
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| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13006-020-00271-2 |
| _version_ | 1818353196495536128 |
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| author | Thomas Obinchemti Egbe Theophile Nana Njamen Henri Essome Nicholas Tendongfor |
| author_facet | Thomas Obinchemti Egbe Theophile Nana Njamen Henri Essome Nicholas Tendongfor |
| author_sort | Thomas Obinchemti Egbe |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T19:05:41Z |
| format | Article |
| id | doaj.art-4a28a510b2b145e893b0280b20e43807 |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-12-13T19:05:41Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-4a28a510b2b145e893b0280b20e438072022-12-21T23:34:33ZengBMCInternational Breastfeeding Journal1746-43582020-04-011511710.1186/s13006-020-00271-2The estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the Douala General Hospital, CameroonThomas Obinchemti Egbe0Theophile Nana Njamen1Henri Essome2Nicholas Tendongfor3Faculty of Health Sciences, University of BueaFaculty of Health Sciences, University of BueaFaculty of Medicine and Pharmaceutical Sciences, University of DoualaFaculty of Health Sciences, University of BueaAbstract 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.http://link.springer.com/article/10.1186/s13006-020-00271-2AbscessBreastBreastfeedingDrainageLactationAnd mastitis |
| spellingShingle | Thomas Obinchemti Egbe Theophile Nana Njamen Henri Essome Nicholas Tendongfor The estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the Douala General Hospital, Cameroon International Breastfeeding Journal Abscess Breast Breastfeeding Drainage Lactation And mastitis |
| title | The estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the Douala General Hospital, Cameroon |
| title_full | The estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the Douala General Hospital, Cameroon |
| title_fullStr | The estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the Douala General Hospital, Cameroon |
| title_full_unstemmed | The estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the Douala General Hospital, Cameroon |
| title_short | The estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the Douala General Hospital, Cameroon |
| title_sort | estimated incidence of lactational breast abscess and description of its management by percutaneous aspiration at the douala general hospital cameroon |
| topic | Abscess Breast Breastfeeding Drainage Lactation And mastitis |
| url | http://link.springer.com/article/10.1186/s13006-020-00271-2 |
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