Nancy writes: Yellow crust on nipples is a staph aureus infection until
proven otherwise
(and may even be MRSA).
Try Bactroban (mupirocin) cream after milk soap and water several times a
day. Will not hurt infant if he/she ingests some.
To add to this when I was working as an LC in 60 bed NICU whenever we saw
mothers with this yellow crust on their nipples they went on to develop
mastitis. Now the interesting thing to me is I only saw this in mothers who
were pumping. It would be interesting to figure out why. In fact these
were always NICU moms pumping frequently. We began having mothers ask their
docs for antibx when they developed this yellow crust.
Any thoughts on why it was seen only in pumping moms?
Kathy Boggs, RN, IBCLC
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