<It grew strep, but the doctor says not in levels to cause
infection.  Mom is ready to wean.  Any advice?>
that's the trouble with doing investigations - we don't always know what to
do with the results!
Lawrence cites a study by Sosa and Barness (1987) of bacterial cultures of
expressed milk: 6 samples (15%) were positive for strep.
If the history is suggestive of thrush, I would still probably be treating
the nipple and breast pain as thrush.
Keep in mind that some candida doesn't respond to fluconazole. It could be
worth considering ketoconazole.
Lisa Amir
MBBS, MMed, IBCLC in Melbourne, Australia

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