I obtein culture of nippple, or more frecuetly of breastmilk when
- there are wound that is not not progressing well
- mastitis, if I can obtein it before the treatment
- sore nipple, when lasts more than a week and no proper reasons that pain, especial y if the mother says she feels "needles"
if there's pain initially I propose probiotics, and if This dosen't work I obtein the culture

Esther Esteban 

Enviado desde mi iPhone

> El 20/04/2014, a las 05:22, Melinda Harris-Moulton <[log in to unmask]> escribió:
> 
> Dear Lactnetters:
> I would like to hear your opinions on when to obtain cultures of sore
> nipples and milk.
> I am concerned that treating  sore nipples with APNO (all purpose nipple
> ointment containing an antibiotic, an antifungal, and a cortisone) is
> overtreating when I really don't know what infection is present, yet I
> don't want to have costly tests performed unnecessarily. Is it common
> practice to culture nipples that are appear infected?
> Also: When would you consider culturing breastmilk? I've read on Lactnet
> references to bacteria found in breastmilk, but wonder what symptoms were
> present that indicated a culture was needed.
> Thanks
> Melinda Harris-Mouton
> Nurse Practitioner, IBCLC
> Washington State
> 
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