Treatment Options for Breast Abscess
The treatment options for breast abscess depend on the size, severity, and whether the abscess has ruptured or requires drainage. Quick and appropriate treatment options for breast abscess help relieve pain, promote healing, and preserve breastfeeding ability whenever possible.
1. Antibiotics
For small or early abscesses, oral antibiotics may be sufficient. Common choices include:
- Flucloxacillin or clindamycin for Staphylococcus aureus
- Amoxicillin-clavulanic acid if broader coverage is needed
In cases with MRSA risk or recurrence, more specialised antibiotics may be prescribed. It’s important to complete the full course even if symptoms improve.
2. Drainage procedures
Larger or more advanced abscesses require drainage. Options include:
- Needle aspiration: A fine needle removes the pus under ultrasound guidance. This is often repeated over several days.
- Surgical drainage: If aspiration is unsuccessful, an incision may be made under local or general anaesthesia.
3. Pain management
Anti-inflammatory medication (like ibuprofen) helps reduce pain and swelling. Cold compresses may also provide relief.
4. Continued breastfeeding
Unless specifically advised otherwise, mothers are encouraged to continue breastfeeding or expressing milk. This helps drain the breast, reduces engorgement, and does not harm the baby if managed properly.
5. Support and follow-up
Lactation support, especially from trained nurses or consultants, is vital to prevent recurrence. Monitoring and follow-up appointments ensure the abscess heals completely.
In South Africa, public healthcare facilities often manage breast abscesses effectively at primary and secondary care levels. Prompt referrals and community-based breastfeeding support services are improving outcomes in both urban and rural settings.
With early attention, most treatment options for breast abscess result in full recovery, minimal scarring, and successful continuation of breastfeeding.
👉 [Next: Living with Breast Abscess – Recovery and Prevention]
