Table 1 Treatment options for puerperal breast abscess [20]
From: ‘I don’t want to be a guinea pig’ - Swedish women’s experiences of breast abscess treatment
Antibiotics | Antibiotics alone are insufficient in the management of breast abscess. There is insufficient evidence to determine whether antibiotics should be routinely prescribed in addition to drainage of collection. |
Incision and drainage | The abscess is cut open with a scalpel to release the pus/fluid. Is typically performed when the abscess is multiloculated or has overlying early skin necrosis. A drain may be inserted into the wound to help the infected fluid drain or may be left open so that fluid drains naturally. |
Needle aspiration | A needle is inserted into the cavity of the breast abscess and a syringe is used to draw out the infected fluid, often using ultrasound guidance. May need repeated aspiration. Less invasive than incision and drainage and is therefore preferred. Although in some cases incision and drainage is required if repeated aspiration fails. |