Culture the mother's milk and areola. Treat for 21 days.  Culture the nares 
of infant and child and if positive treat with bactroban to the nose monthly 
for 5 days.  Can follow up with low dose clindamycin or erythromycin daily for 
as long as needed. Us is indicated in this situation as a cancer or other 
blockage can be the underlying cause.  much of this is in lawrence can show to the 
OB.  But why work with the OB--a general or family practice doctor may be 
better.  

FYI, Had one mom with recurrance times 3 come back with Strep A on nipple and 
Strep Agalactiae in milk .  Treated infant with amoxicillan.  Mom was on 
Ceftin.  Mom had a lump in same breast prior to birth. developed a bleb in 3 weeks 
or so and large amount of mucous was expressed and lump got smaller. Chris

Christine Betzold NP IBCLC MSN

www.theBFclinic.com

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