Acute Breast Sepsis
Suspected Breast Infection
Acute breast sepsis should be referred to the surgical admitting team e.g if systemically unwell, obvious abscess, or necrotic/compromised skin.
Clinical presentation of mastitis includes skin erythema, tenderness, firm and/or indurated tissue.
Initial Primary Care Management
- Lactational - High dose Flucloxacillin (or Clarithromycin if penicillin allergic) for 10-14 days
- Non lactational - Augmentin (or Clarithromycin AND metronidazole if penicillin allergic) for 10-14 days
Review at 48 hours
- If improving, complete course
- If deteriorating, refer to the surgical admitting team.
Refer to the symptomatic breast clinic if:
- Resolution of symptoms is slow or symptoms are recurrent
- Patient over 50 years (alongside initiating treatment)
Date Reviewed 03/12/2019
Next Review Date 03/12/2020
Author Dr I Boyd, RMS GP Sifter
Contributor Dr Rebecca Osborne, GPwSI Breast, RCHT
Version No. 3.0