AI Article Synopsis

  • Post-partum mastitis is a common infection in breastfeeding women, with 9.5-16% incidence, and there is a growing concern about methicillin-resistant Staphylococcus aureus (MRSA) as a significant cause of this condition.
  • Recent literature indicates that the rate of MRSA infections in post-partum patients is likely increasing, which necessitates a reassessment of current treatment practices for mastitis.
  • A case study presented demonstrates that conventional treatments for mastitis may fail in MRSA cases, highlighting the importance for healthcare providers to recognize and adapt to this shift in causative pathogens.

Article Abstract

Background: Post-partum mastitis is a common infection in breastfeeding women, with an incidence of 9.5-16% in recent literature. Over the past decade, community-acquired methicillin-resistant Staphylococcus aureus (MRSA) has emerged as a significant pathogen in soft-tissue infections presenting to the emergency department. The incidence of mastitis caused by MRSA is unknown at this time, but likely increasing.

Objectives: We review the data on prevention and treatment of mastitis and address recent literature demonstrating increases in MRSA infections in the post-partum population and how we should change our practices in light of this emerging pathogen.

Case Report: We present a case of simple mastitis in a health care worker who failed to improve until treated with antibiotics appropriate for a MRSA infection.

Conclusion: Recent evidence suggests that just as MRSA has become the prominent pathogen in other soft-tissue infections, mastitis is now increasingly caused by this pathogen. Physicians caring for patients with mastitis need to be aware of this bacteriologic shift to treat appropriately.

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http://dx.doi.org/10.1016/j.jemermed.2008.11.021DOI Listing

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