Mastitis update

被引：6

作者：

Espinola-Docio, Blanca ^{[1
,3
]}

Costa-Romero, Marta ^{[1
,2
,4
]}

Marta Diaz-Gomez, N. ^{[5
]}

Paricio-Talayero, Jose M. ^{[6
,7
]}

机构：

[1] AEP, Comite Lactancia Materna, Columbus, OH 43215 USA

[2] Ctr Salud Luis Vives, Alcala De Henares, Madrid, Spain

[3] Serv Salud Comunidad Madrid, Madrid, Spain

[4] Univ Hosp, Cent Asturias, S Neonatol, Oviedo, Spain

[5] Univ La Laguna, Fac Ciencias Salud, Tenerife, Spain

[6] Hosp Francesc Borja, Valencia, Spain

[7] Asociac Promoc Invest Lactancia Materna APILAM, Madrid, Spain

来源：

ARCHIVOS ARGENTINOS DE PEDIATRIA | 2016年 / 114卷 / 06期

关键词：

acute mastitis; subacute mastitis; probiotics; mastodynia; BREAST-FEEDING WOMEN; LACTATIONAL MASTITIS; INFECTIOUS MASTITIS; GRANULOMATOUS MASTITIS; CANDIDA-ALBICANS; PRETERM INFANT; MILK; MANAGEMENT; PAIN; ANTIBIOTICS;

D O I：

10.5546/aap.2016.576

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Mastitis is one of the main causes of avoidable cessation of breastfeeding which increases morbidity in childhood, however, there is no uniformity in diagnostic and therapeutic criteria. The diagnosis of acute mastitis is mainly clinical. Only in certain cases, a milk culture is indicated. Regarding treatment of mastitis, it is fundamental to empty the breast, so breastfeeding should continue. It is recommended to start antibiotic therapy if symptoms persist or if there is considerable clinical impact. There is insufficient evidence of the importance of other types of mastitis (subclinical and subacute). There is also a lack of evidence that these types of mastitis are responsible for breast pain or for low infant weight gain. Furthermore, there is not enough evidence regarding the effectiveness of probiotics in the treatment and prevention of mastitis. The aim of this article is to review the available information related to clinical signs, diagnosis and management of acute mastitis in order to give an updated overview.

引用

页码：576 / +

页数：9

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