"Drainage" needed for Mastitis treatment
|From: firstname.lastname@example.org (BCapstone)
|The female breast, like the prostate, is a gland. The female breast, or
mammary gland, secretes milk during the period of lactation.
|This is similar in many way to the prostate. Both the prostate
and the breast secrete milky white fluids. Only the female breast
secretes intermittently while the male prostate secretes its prostatic
fluid continuously from the onset of puberty.
|When the breast glands become obstructed, infection called
mastitis will occur. Helene Bertrand MD, and Lorne Rosenblood PhD, wrote
a paper called Stripping out pus in lactational mastitis: a means of
preventing breast abscess. In this case series study the authors show
that stripping the breast glands
of pus (similar to draining the prostate of pus), results in a decrease in
abcess formation in 210 women.
|The authors state that: ". . . once pus has formed and plugs the
ducts nursing and the manual expression of milk are not powerful enough to
dislodge the pus, and antibiotics fail to reach the infection."
|When the breast stripping procedure was too painful, patients were
given 50 to 100 mg of meperidine (Demerol) intramuscularly for pain.
"Total clearing of the pus from the breast gave most patients dramatic
|After the first stripping done by the physician, women were
instructed to strip their breasts of pus every 2 to 4 hours. Most stopped
producing pus within one week.
|The women were also treated with antibiotics. Typical organisms
were Staphylococcus pyogenes, B-hemolytic Streptococcus, and
Staphylococcus Aureus. Other organisms implicated are coagulase-negative
Staphylococci, Streptococci faecalis, Esherichia coli, Enterobacter
cloacae, Psuedomonas picetti, and Haemophilus influenzae.
|The history of the evolution of treatment for the inflamed female
breast during lactation is very similar to the history of treatment for
prostatitis.... Just like in prostatitis, diagnosis has been based on
collection of fluid from the gland (in this case milk) and leukocyte
counts and culture. This would be expected as they are both glands that
function to secrete fluid.
|Mastitis can be epidemic, apparently transmitted infant to infant
in the nursery and then to the mother, or non-epdidemic with a steady
incidence of about 2% of nursing mothers.|