Lactational Breast Abcess : A Cross Sectional Evaluation of Features and Clinical Interventions

Abstract

This is a cross sectional study of 50 cases of breast abscess admitted to Dhaka Medical College Hospital. The aim of this study is to find out the pattern of clinical presentation, microbiological study, and treatment modality. To find out the aetiological factors detailed history was taken. Married woman are the major victims of the barest abscess (98% of the study). Women who had home delivery and suffered from puerperal sepsis are more vulnerable. Poor; malnourished, rural women are major victims. Due to lack of health education it prevails mainly in the illiterate women. Coexisting other infection (U77, skin infection etc.) acts as risk factor (50% of the study had other infections). Regarding clinical pattern most of the patient presented with painful swelling in the breast with rednessS. induration with or without fluctuation. A small number presents with spontaneous bursting (8%) and discharging sinus (7%). Regional lymph node involvement was not significant, A significant number of nipples were found cracked (35%of the study).Reganling bacteriological study Staphylococcus aureus was the major organism to be isolated(76%of the study) which showed it sensitivity to Flucloxacillin most In 5 suspected cases biopsy was taken from abscess cavity of which 1 revealed as tubreculous infection.All of the cases were drained under GM. All of the cases were treated post operatively by antibiotics & dressing except 1 case which needed anti tubercular chemotherapy. Only 4 cases needed secondary closure due to delayed healing.