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Date: | Mon, 1 Mar 2010 12:24:33 +0000 |
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Mastitis Antibiotic Algorithm Nursing mothers who develop breast abscesses or mastitis one to four weekspostpartum should be considered as having penicillin-resistantstaphylococcal infections. Drug treatment options in order of preferenceare:1. Penicillinase-Resistant Penicillins: dicloxacillin (first choice), cloxacillin, methicillin, nafcillin2. Macrolides (if allergic to penicillins): azithromycin (first choice), clarithromycin3. Aminoglycosides: clindamycin, vancomycin (IV) (if incision and drainage necessary)4. Sulfamethoxazole/trimethoprim (oral): (if incision and drainage necessary) 5. Cephalosporins 6. Linezolid (high rate of thromboplastinemia) 7. Kanamycin 8. Chloramphenicol (do not breastfeed if this drug is necessary) PLUS analgesic / antipyretic relief as needed
Frank J. Nice, RPh, DPA, CPHP
Check out my new website and book, "Nonprescription Drugs for the Breastfeeding Mother" at:
www.nicebreastfeeding.com
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