A postpartum woman has acute puerperal mastitis. Which of the following statements is true?
|A||The initial treatment is penicillin|
|B||The source of the infection is usually the infant’s gastrointestinal tract|
|C||Frank abscesses may develop and require drainage|
|D||The most common offending organism is Escherichia coli.|
Frank abscesses may develop and require drainage
a. Puerperal mastitis may be subacute but is often characterized by chills, fever, and tachycardia.
b. If undiagnosed, it may progress to suppurative mastitis with abscess formation that requires drainage.
c. The most common offending organism is Staphylococcus aureus, which is probably transmitted from the infant’s nose and throat.
d. This in turn is most likely acquired from personnel in the nursery at times, epidemics of suppurative mastitis have developed. A penicillinase-resistant antibiotic is the initial treatment of choice.