Abstract
Background: Breast abscess is a common cause of morbidity in women. While they are less common in developed countries as a result of improved maternal hygiene, nutrition, standard of living and early administration of antibiotics, breast abscess remain a problem among women in developing countries.
 Methods: Hospital based prospective randomized controlled trial conducted on 100 patients. 50 of them were randomized in the aspiration group and other 50 were treated by incision and drainage. All statistical analysis was done in Epi-info statistical software.
 Results: In our study, patients in the needle aspiration group had lesser pain as compared to the patients of the incision and drainage group. Average pain score (on visual analogue scale) on day three of patients in the needle aspiration group was 4.22 as compared to 5.72 in the incision and drainage group. On day seven the pain score was 1.73 in the aspiration group and 3.89 in the incision and drainage group. By day fourteen almost all patients (94.00%) of needle aspiration group were pain free and the average pain score in the incision and drainage group was 2.0.Using the chi square test, a p value of 0.0005 was obtained suggesting a statistically significant difference.
 Conclusion: Wherever the facility of ultrasound is available, serial percutaneous needle aspiration may be tried as a first line of therapy.
 Keywords: Needle aspiration, Incision and drainage, Breast abscess.
Highlights
Breast abscess is a common cause of morbidity in women
While they are less common in developed countries as a result of improved maternal hygiene, nutrition, standard of living and early administration of antibiotics, breast abscess remain a problem among women in developing countries
By day fourteen almost all patients (94.00%) of needle aspiration group were pain free and the average pain score in the incision and drainage group was 2.0.Using the chi square test, a p value of 0.0005 was obtained suggesting a statistically significant difference
Summary
Breast abscess is a common cause of morbidity in women. While they are less common in developed countries as a result of improved maternal hygiene, nutrition, standard of living and early administration of antibiotics, breast abscess remain a problem among women in developing countries. The true incidence of this condition in non-lactating females is not knows and is estimated to be 1-33%3 They occur in the periareolar tissues, frequently recur, and infecting organisms are a mixture of Bacteroides, anaerobic streptococci, and enterococci. Such non-lactational breast abscess is a manifestation of duct ectasia/periductal mastitis and is usually seen in the age group 30-60 years. Treating breast abscesses in lactating women by aspiration is not new[1].Imaging guided percutaneous needle aspiration of purulent collections is a known alternative to standard treatment which has become more popular as it is less invasive, cosmetically better and can be managed entirely on outpatient basis as compared to incision and drainage[2]. The present study tries to compare the two treatment modalities ultrasound guided needle aspiration and incision and drainage and assess their outcome in patients with breast abscess
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