Szoptatás Portál ... naprakész információk a szoptatásról

Thomas W. Hale, Tiffany L. Bateman, Malcolm A. Finkelman and Pamela D. Berens
BREASTFEEDING MEDICINE Volume 4, Number 2, 2009

Abstract

Objective: The objective of this prospective study was to determine if Candida albicans is present in the milk of women suffering from symptoms of severe nipple and deep breast pain.

Study Design: The symptomatic group included women who reported sore, inflamed, or traumatized nipples or intense stabbing or burning pain. The control group included breastfeeding women without symptoms. The skin of the nipple and areola were washed with detergent and thoroughly rinsed. Milk samples were analyzed for (1 → 3)-β-D-glucan and grown on Candida growth medium.

JEANNE P. SPENCER
Am Fam Physician. 2008 Sep 15;78(6):727-731.

Abstract

Mastitis occurs in approximately 10 percent of U.S. mothers who are breastfeeding, and it can lead to the cessation of breastfeeding. The risk of mastitis can be reduced by frequent, complete emptying of the breast and by optimizing breastfeeding technique. Sore nipples can precipitate mastitis. The differential diagnosis of sore nipples includes mechanical irritation from a poor latch or infant mouth anomalies, such as cleft palate or bacterial or yeast infection. The diagnosis of mastitis is usually clinical, with patients presenting with focal tenderness in one breast accompanied by fever and malaise.

E. Jiménez, L. Fernández, A. Maldonado, R. Martín, M. Olivares, J. Xaus and J. M. Rodríguez

Applied and Environmental Microbiology, August 2008, p. 4650-4655, Vol. 74, No. 15

Abstract

In this study, 20 women with staphylococcal mastitis were randomly divided in two groups. Those in the probiotic group daily ingested 10 log10 CFU of Lactobacillus salivarius CECT5713 and the same quantity of Lactobacillus gasseri CECT5714 for 4 weeks, while those in the control one only ingested the excipient. Both lactobacillus strains were originally isolated from breast milk. On day 0, the mean staphylococcal counts in the probiotic and control groups were similar (4.74 and 4.81 log10 CFU/ml, respectively), but lactobacilli could not be detected.

The Academy of Breastfeeding Medicine

Breastfeeding Medicine Volume 3, Number 3, 2008

INTRODUCTION

Mastitis is a common condition in lactating women; estimates from prospective studies range from 3% to 20% depending on the definition and length of postpartum followup.

Kvist LJ, Larsson BW, Hall-Lord ML, Steen A, Schalén C.
Int Breastfeed J. 2008 Apr 7;3:6.

Abstract

BACKGROUND: The role of bacterial pathogens in lactational mastitis remains unclear. The objective of this study was to compare bacterial species in breast milk of women with mastitis and of healthy breast milk donors and to evaluate the use of antibiotic therapy, the symptoms of mastitis, number of health care contacts, occurrence of breast abscess, damaged nipples and recurrent symptoms in relation to bacterial counts.

From Journal of Midwifery & Women's Health

Christine M. Betzold, NP, CLC, MSN

Abstract

Inflammation of the breast (mastitis) with or without infection or redness has a variety of etiologies and presentations that range from the fairly benign blocked duct to the more serious breast abscess. True infectious mastitis can present in a manner that is easily identifiable, or it can present in a subtle and ambiguous fashion. Some women are challenged with recurrent mastitis, and often the underlying etiology is never discovered.

Catherine M. Fetherston, Jim I. Wells, Peter E. Hartmann
Breastfeeding Medicine. 2006, 1(3): 127-135.

Abstract

Objective: To investigate the presence of C-reactive protein (CRP) in breast milk and any relationship between changes in CRP in breast milk and blood, and the severity of systemic and breast symptoms experienced during mastitis.

Catherine M. Fetherston, C.T. Lai, Peter E. Hartmann
Breastfeeding Medicine. 2006, 1(3): 136-145.

Abstract

Objective: The objective was to investigate changes in milk composition that reflect variations in breast permeability, milk synthesis, and immune response in women before, during, and after mastitis.

Catherine M. Fetherston, Ching Tat Lai, Leon R. Mitoulas, Peter E. Hartmann

Acta Obstetricia et Gynecologica Scandinavica Volume 85, Number 1 / January 2006 pp20 - 25

Abstract:

Hypothesis. The increased excretion of lactose in urine will be an accurate predictor of increased breast permeability during inflammation of the breast and therefore could predict whether there is a relationship between the severity and type of symptoms suffered during mastitis and changes in breast permeability.

Notes from Dr. Hale

We are all hearing more and more about the new epidemic of Methicillin-Resistant Staph Aureus (MRSA). While the rate in the general public is still low, it is rising and it seems especially so in pediatric age patients where a higher prevalence seems to occur in settings that enable close contact between individuals, such as day-care centers.

A mastitis a mell gyulladásos állapota, amelyhez fertőzés társulhat. Általában a laktációval összefüggésben lép fel, ezért laktációs vagy puerperális mastitisnek is nevezik. Esetenként fatális lehet, amennyiben nem megfelelően kezelik. A mastitis súlyos szövődménye a melltályog, amely lokalizált gennygyülem a mell állományán belül. Ezek az állapotok számottevő nehézséget jelentenek, és jelentős költséggel járnak. A legújabb kutatások kimutatták, hogy a mastitis megnöveli a HIV szoptatás útján való átvitelének kockázatát.