When is inpatient care indicated for breast abscesses and masses?

Updated: Jul 27, 2020
  • Author: Andrew C Miller, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Answer

Consider admitting patients with large or complex breast abscesses for pain management, parenteral antibiotic therapy, and definitive management. Admit patients with sepsis due to mastitis. Consider diabetic ketoacidosis in patients with nonpuerperal breast abscess.

Treatment may include incision and drainage, fine-needle aspiration, vacuum-assisted aspiration, and fistulectomy in the operating room. The wound can be left to close by secondary intention or with simple sutures over a drain. [82, 4] Cultures of the drained fluid should be obtained at this time and sent to determine antimicrobial susceptibility. [4]


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