NICE Clinical Knowledge Summaries - Mastitis and breast abscess

 

Arrange hospital admission if:

  • There are signs of sepsis
  • The infection progresses rapidly
  • The woman is haemodynamically unstable or immunocompromised

 

Breast feeding: Antibiotic options recommended are appropriate if patient breastfeeding. Patient should continue breastfeeding if possible, including from infected breast. If breastfeeding is not possible then advise the woman to express milk until she is able to resume breastfeeding from that breast.

Drug details

Flucoxacillin

500mg QDS

7 days

Non severe penicillin allergy:

Cefalexin

 

1g TDS

 

7 days

Severe penicillin allergy

Clarithromycin

 

500mg BD

 

7 days