Infection · UKMLA & AKT
Non-lactational mastitis
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise non-lactational mastitis — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- Without antibiotic indication: continue breastfeeding (or express) + simple analgesia + warm compresses
- Indications for oral antibiotics: infected nipple fissure, symptoms not improving after 12-24 hours of effective milk removal, or positive breast milk culture
- First-line antibiotic: flucloxacillin for 10-14 days
- Penicillin allergy: erythromycin or clarithromycin
- Refer to surgical team only if breast abscess suspected (palpable fluctuant mass)
Do NOT advise stopping breastfeeding - milk stasis worsens mastitis. Advise to continue feeding or express if feeding is too painful.
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