I would try resting that nipple x 1-2 days (if possible) by hand expressing or on low suction on pump while massaging while pumping; culture and sensitivity of the nipple and clean catch mid stream milk culture. Saline rinses and apply an antibiotic ointment like mupirocin. We cannot see pictures on lactnet.
Laurie Wheeler RN MN IBCLC
Mississippi Gulf Coast, USA
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