We had a mother with a similar scenario. Milk culture showed MRSA
(methicillin resistant staph aureus). She was hospitalized for at least 10
days and was in severe pain, unable to even hold baby near her chest. Much as
she wanted to breastfeed, she asked us finally to help her wean. Infectious
disease specialists were afraid of any milk stasis so we very slowly, over
several weeks, decreased pumping unitl she finally dried up. We felt if she
did wean it was important to do it while she was still on antibiotics. She
left the hospital, as I remember, on an oral vancomycin preparation. Of
course she developed yeast also. She was never pain free until she had
totally dried up. She was on antibiotics for weeks. We saw her every couple
of days to support her through this and to help with the very slow weaning
plan.  She was devastated about not breastfeeding, but was not able to get on
top of the mastitis while she was producing milk and couldn't even hold her
baby. She had had several bouts of less severe mastitis before she was
hospitalized with MRSA. She was probably receiving the wrong antibx until she
was cultured in the Lactation Center.

Kathy Boggs, RN,IBCLC

 > "I've had SEVERE mastitis for the past three weeks. I was treated with two
> different oral antibiotics, and it got worse. Then had three days of
> antibiotic injections, then was hospitalized for over a week. I was on IV
> naphcilin and then IV vancomycin. I am currently home on IV vancomycin
> (have a central line). I have been on the vanc for two weeks.... My breast
> used to be swollen about two or three times the normal size and swelling
> has gone down.. but i am still in tons of pain, and am pumping out blood
> and/or yellow/green stuff. Milk production in that breast is about nil. I
> also have a yeast infection and am on 200 mg Diflucan/day and my baby is on
> nystatin.
>
> Just wondering if anyone has ever had a case this bad... what they did
> about it.. how long it took to heal.. if they ever got milk production back
> in that breast.
>
> Seems quite odd to me that i have been on IV's for almost three weeks and
> am still not completely better - as well as taking oral meds.
>
> Thanks for listening,
> Kari"
>


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