MRSA Breast Abscesses in Postpartum Women
Infections caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) are being increasingly observed in patients who lack traditional risk factors. While mastitis and breast abscesses are commonly encountered in post-natal women, CA-MRSA breast infections have rarely been re...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2009-01-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958409600105 |
| _version_ | 1828522276250714112 |
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| author | E.W.L. Chuwa C.M.Y. Wong Y.Y. Tan G.S. Hong |
| author_facet | E.W.L. Chuwa C.M.Y. Wong Y.Y. Tan G.S. Hong |
| author_sort | E.W.L. Chuwa |
| collection | DOAJ |
| description | Infections caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) are being increasingly observed in patients who lack traditional risk factors. While mastitis and breast abscesses are commonly encountered in post-natal women, CA-MRSA breast infections have rarely been reported.
Materials and Methods: We reviewed 15 postpartum women with methicillin-resistant Staphylococcus aureus (MRSA) breast abscesses observed in our unit from June 2005 to April 2007. Ultra-sonographic examination was performed in all cases. MRSA infection was diagnosed on microbiological analysis cultured from the abscesses of these patients.
Results: The median age of the patients was 31.5 years. The majority of the patients were primiparae (80%). Only one patient was immunocompromised. None of the patients had history of previous breast infection and none developed recurrence. Eleven patients (73.3%) underwent aspiration of pus and four patients (26.7%) underwent incision and drainage. All the cultures were sensitive to co-trimoxazole and vancomycin. Eight (53.3%) of the cultures were also sensitive to erythromycin.
Conclusion: CA-MRSA is an emerging problem in our obstetric population. CA-MRSA breast infections are clinically responsive to common oral antibiotics such as co-trimoxazole and erythromycin. A high index of suspicion is essential to avoid delay in the clinical response to empirical beta-lactams as these patients may benefit from an early change of antibiotics. |
| first_indexed | 2024-12-11T20:04:36Z |
| format | Article |
| id | doaj.art-7d0a6166c0cb4998b5699894d9190968 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-11T20:04:36Z |
| publishDate | 2009-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-7d0a6166c0cb4998b5699894d91909682022-12-22T00:52:26ZengElsevierAsian Journal of Surgery1015-95842009-01-01321555810.1016/S1015-9584(09)60010-5MRSA Breast Abscesses in Postpartum WomenE.W.L. ChuwaC.M.Y. WongY.Y. TanG.S. HongInfections caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) are being increasingly observed in patients who lack traditional risk factors. While mastitis and breast abscesses are commonly encountered in post-natal women, CA-MRSA breast infections have rarely been reported. Materials and Methods: We reviewed 15 postpartum women with methicillin-resistant Staphylococcus aureus (MRSA) breast abscesses observed in our unit from June 2005 to April 2007. Ultra-sonographic examination was performed in all cases. MRSA infection was diagnosed on microbiological analysis cultured from the abscesses of these patients. Results: The median age of the patients was 31.5 years. The majority of the patients were primiparae (80%). Only one patient was immunocompromised. None of the patients had history of previous breast infection and none developed recurrence. Eleven patients (73.3%) underwent aspiration of pus and four patients (26.7%) underwent incision and drainage. All the cultures were sensitive to co-trimoxazole and vancomycin. Eight (53.3%) of the cultures were also sensitive to erythromycin. Conclusion: CA-MRSA is an emerging problem in our obstetric population. CA-MRSA breast infections are clinically responsive to common oral antibiotics such as co-trimoxazole and erythromycin. A high index of suspicion is essential to avoid delay in the clinical response to empirical beta-lactams as these patients may benefit from an early change of antibiotics.http://www.sciencedirect.com/science/article/pii/S1015958409600105community-acquired MRSAbreast abscessespostpartum |
| spellingShingle | E.W.L. Chuwa C.M.Y. Wong Y.Y. Tan G.S. Hong MRSA Breast Abscesses in Postpartum Women Asian Journal of Surgery community-acquired MRSA breast abscesses postpartum |
| title | MRSA Breast Abscesses in Postpartum Women |
| title_full | MRSA Breast Abscesses in Postpartum Women |
| title_fullStr | MRSA Breast Abscesses in Postpartum Women |
| title_full_unstemmed | MRSA Breast Abscesses in Postpartum Women |
| title_short | MRSA Breast Abscesses in Postpartum Women |
| title_sort | mrsa breast abscesses in postpartum women |
| topic | community-acquired MRSA breast abscesses postpartum |
| url | http://www.sciencedirect.com/science/article/pii/S1015958409600105 |
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