Infection · UKMLA & AKT
Non-lactational mastitis
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
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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