What are the treatment options for mastitis?

Updated: Jul 27, 2020
  • Author: Andrew C Miller, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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In addition to therapeutic breast emptying (if indicated), antibiotic therapy, and warm or cold compresses, emerging evidence suggests that therapeutic administration of lactobacilli strains that are naturally occurring in breast milk may be of therapeutic benefit for the management of infectious mastitis during lactation. [80, 9]

Mastitis that is refractory to standard treatment (see above) should prompt further workup to rule out uncommon infectious etiologies, granulomatous diseases, and/or idiopathic causes. [12]

Recurrent periductal mastitis may require combined total excision of the affected duct and the fistulous tract with encouraged smoking cessation (if applicable). [81]

Treatment of idiopathic granulomatous mastitis usually involves corticosteroids and methotrexate, with or without surgery.

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