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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