BY : Tejasvi CharanML-610

Neonatal mastitis is the inflammation of the breast tissue that typically occurs up to the age of two months.

It is usually local in nature , can be uni/bilateral.

Girls : boys -> 2 : 1 Etiology: 85% S. aureus, E. coli, group D Streptococcus (Invasion of the microbes through ducts or

damaged skin via haematogenous route )

General symptoms : restless, appetite and sleep disturbances.

Local symptoms :tenderness, swelling, Enlarged breast bud hyperemia, local rise in temperature, fluctuationPurulent nipple discharge may be present “witch’s milk”The axillary lymph nodes may be enlarged and tender.

Anamnesis CBC Urinalysis Ultrasound Incision and drainage material (gram stain

and culture )

Conservative : Antibiotics ( clinadamycin and vancomycin

for MRSA ) Oxacillin (100 – 200mg/kg/day in 4 divided

doses ). Acetaminophen 10 to 15 mg/kg every 4 to 6

hours, not to exceed five doses (50-75 mg/kg) in 24 hours

Antiseptic compresses, Ointment dressings Physiotherapy

Surgical : incision and drainage (incise in radial direction, the indentation of

3-4 mm from the areola over an area of softening). Bandage with hypertonic saline (0.02% chlorhexidine-bigluconate) for 2-3 hours, then replacing it with an ointment.