Nancy writes:  Yellow crust on nipples is a staph aureus infection  until 
proven  otherwise 
(and may even be MRSA).
Try Bactroban  (mupirocin) cream after milk soap and water several times a  
day.   Will not hurt infant if he/she ingests some.

To add to this when I was  working as an LC in 60 bed NICU whenever we saw 
mothers with this yellow crust  on their nipples they went on to develop 
mastitis.  Now the interesting  thing to me is I only saw this in mothers who 
were pumping.  It would be  interesting to figure out why.  In fact these 
were always NICU moms pumping  frequently.  We began having mothers ask their 
docs for antibx when they  developed this yellow crust.
  Any thoughts on why it was seen only in pumping moms?
 
Kathy Boggs, RN, IBCLC

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