Pevzner Miri, Dahan Arik
Department of Clinical Pharmacology, School of Pharmacy, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel.
J Clin Med. 2020 Jul 22;9(8):2328. doi: 10.3390/jcm9082328.
Mastitis is an inflammation in the breast, which may involve a bacterial infection. Breast infection during breastfeeding is a common phenomenon that requires immediate and appropriate treatment. Without proper treatment, inflammation may lead to the cessation of breastfeeding. Another potential complication is the development of an abscess. Based on the nutritional and immunological value of breast milk, the recommendations of the American Academy of Pediatrics (AAP) and the World Health Organization (WHO) is exclusive breastfeeding up to 6 months of age, followed by continued breastfeeding as complementary foods are introduced, with continuation of breastfeeding for 1 year or longer as mutually desired by mother and infanRecent meta-analyses indicate breastfeeding protects against childhood infections, allows for a possible increase in intelligence, and for a reduction in overweight and diabetes. Breastfeeding is beneficial for nursing women as well. It is therefore important to help the mother overcome difficulties such as mastitis and to continue breastfeeding. The choice of a proper treatment and the provision of therapeutic instructions to the patient are crucial for a cure, for a successful duration of breastfeeding, and for preventing complications for mother and baby. In this article, we provide the latest clinical guidelines regarding drug treatment and supportive therapy in mastitis. We also discuss the latest guidelines of candida treatment, as candida infection may develop as a result of antibiotic therapy. Overall, improperly treated mastitis may cause the premature cessation of breastfeeding, and will cause suffering to both mother and baby; giving proper treatment and instructions to the mother are hence of the utmost importance.
乳腺炎是乳腺的一种炎症，可能涉及细菌感染。母乳喂养期间的乳腺感染是一种常见现象，需要立即进行适当治疗。如果治疗不当，炎症可能导致母乳喂养停止。另一个潜在并发症是脓肿的形成。基于母乳的营养和免疫价值，美国儿科学会（AAP）和世界卫生组织（WHO）建议纯母乳喂养至6个月大，随后在引入辅食时继续母乳喂养，并根据母亲和婴儿的共同意愿持续母乳喂养1年或更长时间。最近的荟萃分析表明，母乳喂养可预防儿童感染，可能提高智力，并降低超重和患糖尿病的风险。母乳喂养对哺乳期妇女也有益。因此，帮助母亲克服乳腺炎等困难并继续母乳喂养非常重要。选择合适的治疗方法并向患者提供治疗指导对于治愈疾病、成功进行母乳喂养以及预防母婴并发症至关重要。在本文中，我们提供了有关乳腺炎药物治疗和支持性治疗的最新临床指南。我们还讨论了念珠菌治疗的最新指南，因为念珠菌感染可能是抗生素治疗的结果。总体而言，治疗不当的乳腺炎可能导致母乳喂养过早停止，并会给母婴双方带来痛苦；因此，给予母亲适当的治疗和指导至关重要。
