--- On Sat, 3/6/10, Rachel Myr <[log in to unmask]> wrote:

From: Rachel Myr <[log in to unmask]>
Subject: RE: MRSA in breastmilk
To: "'Julie Merrill'" <[log in to unmask]>, [log in to unmask]
Date: Saturday, March 6, 2010, 2:20 AM



 
Hi Julie,
To reach the list, please re-send this to [log in to unmask]
You've used the listmothers' administrative address 
(lactnet-request).
Cheers
Rachel



From: Julie Merrill 
[mailto:[log in to unmask]] 
Sent: 6. mars 2010 
04:22
To: [log in to unmask]
Subject: MRSA 
in breastmilk




  
  
    We recently had a mother present with mastitis. Her  
      two-and a half-week old healthy full term baby was having difficulty with 
      deep latch 2nd to large nipples. Mastitis had first appeared at the end of 
      week one . At that time she was instructed to pump and bottlefeed 
      expressed milk.  A prescription was written and not filled by 
      mom.   Mastitis  symptoms were resolving.  A culture 
      was done of the breastmilk at the OB/GYN office during the first incident, 
      it came back positive for MRSA.  Mom was notified and returned to 
      office yesterday for an exam. The mom was started on Clindamycin.  
      She continues to pump every three hours.   Is it safe to have 
      her resume giving the baby pumped milk?    The mom's nares and 
      skin were cultured yesterday after the 1st breast milk culture came 
      back.  This baby had been receiving breastmilk exclusively all along 
      and appears healthy.  Are there any protocols for MRSA in 
      breastmilk?  Are there different strains in the community than the 
      hospital?  Is there a way to determine the origin of MRSA ?  How 
      long should the treatment last?  Thank You, Julie Merrill RNC 
      IBCLC

             ***********************************************

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