Presenter Status
Fellow
Abstract Type
Research
Primary Mentor
Jason D. Fraser, MD
Start Date
10-5-2021 11:30 AM
End Date
10-5-2021 1:30 PM
Presentation Type
Poster Presentation
Description
Background: We previously reported treatment and outcomes of children with untreated, not spontaneously draining (UTND) breast abscesses. What has not been well defined however are those with previously treated, not spontaneously draining (PTND) pediatric breast abscesses. In general, a more conservative approach is favored in children with breast abscesses to avoid damage to the developing breast bud.
Objectives/Goal: We sought to determine if care at a pediatric tertiary referral center impacts disease persistence rate.
Methods/Design: Following IRB approval, patientstherapy.
Results: In all, 114 patients met inclusion criteria, 96 in the UTND group and 18 in the PTND group (Figure 1). Baseline demographics, including abscess size, were similar. Patients previously treated at other hospitals (OSH) were more likely to use antibiotics alone as primary therapy compared to more invasive measures, like incision and drainage and needle aspiration (100% vs. 47%, p=
Conclusions: Antibiotic therapy, when properly chosen, remains a safe first-line treatment of pediatric breast abscesses.
MeSH Keywords
Abscess; Clindamycin; Trimethoprim, Sulfamethoxazole Drug Combination; Anti-bacterial Agents; tertiary care center; drainage; treatment outcome; breast
Additional Files
Refining the Optimal First Treatment for Pediatric Breast Abscess.pdf (424 kB)Abstract
Breast abscess figure 1.jpg (195 kB)
Figure
Included in
Bacteria Commons, Pediatrics Commons, Skin and Connective Tissue Diseases Commons, Surgery Commons, Surgical Procedures, Operative Commons
Refining the Optimal First Treatment for Pediatric Breast Abscesses
Background: We previously reported treatment and outcomes of children with untreated, not spontaneously draining (UTND) breast abscesses. What has not been well defined however are those with previously treated, not spontaneously draining (PTND) pediatric breast abscesses. In general, a more conservative approach is favored in children with breast abscesses to avoid damage to the developing breast bud.
Objectives/Goal: We sought to determine if care at a pediatric tertiary referral center impacts disease persistence rate.
Methods/Design: Following IRB approval, patientstherapy.
Results: In all, 114 patients met inclusion criteria, 96 in the UTND group and 18 in the PTND group (Figure 1). Baseline demographics, including abscess size, were similar. Patients previously treated at other hospitals (OSH) were more likely to use antibiotics alone as primary therapy compared to more invasive measures, like incision and drainage and needle aspiration (100% vs. 47%, p=
Conclusions: Antibiotic therapy, when properly chosen, remains a safe first-line treatment of pediatric breast abscesses.
