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Date: | Sun, 29 Aug 2010 22:04:38 -0500 |
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Dear All,
Amoxicillin 1000mg three times a day is certainly not a problem for
breastfeeding, and is a common dose for adults.
Amoxicillin, however, is NOT an appropriate choice for mastitis or any
sort of breast infection, or for that matter, any sort of skin
infection, unless the culture proves that it will cover the bacterial
culprit. Amox generally does not cover staph aureus, which is the most
prevalent bacteria in breast infections!!! It used to cover a good % of
staph >30 years ago, but with the emergence of beta lactam activity of
staph, it is just basically wrong to use it in this situation. To put it
bluntly, it demonstrates a lack of understanding of basic infectious
disease.
Nipple lesions and mastitic breasts should be cultured, given the
prevalence of MRSA, and the possibility of other pathogens, such as
beta- hemolytic strep, and group B strep.
Anne Eglash MD
Clinical Associate Professor
Dept of Family Medicine
University of Wisconsin School of Medicine and Public Health
600 N. 8th St.
Mount Horeb, WI, 53572
608-437-3064 (O)
608-437-4542 (fax)
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