"The Treatment of Staphylococcus Aureus Infected Sore Nipples: A
Randomized Comparative Study." by Verity Livingstone, MBBS, FCFP, IBCLC
and L. Judy Stringer, MBBS, MRCGP, IBCLC, Journal of Human Lactation,
15(3), 1999.

One question I had when I read this article was about the timing of the
intervention. Maybe someone else can find this in the article (or ask the
authors).
If women attended the clinic with a cracked nipple, they had a culture taken
from the nipple and the swab was sent to the local laboratory.
Then it says only mothers with cracked nipples and S.aureus positive culture
were eligible to enter (and were then randomised to one treatment group).
So, I guess women returned to the clinic 48 hours after the first visit when
results were back to be randomised for treatment? Is this how others have
interpreted this?
The rest of the article refers to assessment at 7 days and developing
mastitis within 7 days - presumably from the time of randomisation, not the
initial visit?
Lisa Amir
MBBS, MMed, IBCLC in Melbourne, Australia

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