BREAST ABSCESS

Management Protocol for Treatment of Breast Abscess

Note:
1. No breast abscess needs emergency drainage and even if on presentation skin overlying thinned out and necrotic mini-incision and daily irrigation with saline should resolve the problem.
2. Inform patients about repeated aspiration and total time period may exceed 10 -12 weeks.
3. Patients with inflammatory mass but consistently no pus should have core biopsy done.
4. Antibiotic
Flucloxacillin 500mg three times a day
Metranidazole 400 mg three times a day
Co-amoxiclov 375 mg three times a day

Penicillin allergy : Erythromycin 500mg four times a day
or cepharidine 500 mg four times a day
+ Metranidazole 400 mg three times a day
5. Pregnancy : do not prescribe - ciprofloxacin, tetracyclin or chloramphenicol.

If you require further advice or information please contact the
Macmillan Breast Care Nurses, Hazel Ricard and Hilary Rickwood on 020 8565 5885