From the Research
The initial treatment for non-breastfeeding mastitis typically involves a 1- to 2-day trial of conservative measures, including nonsteroidal anti-inflammatory drugs and ice application, before considering antibiotics that cover common skin flora, particularly Staphylococcus aureus. According to the most recent study 1, most cases of mastitis are caused by inflammation and not a true infection, and a trial of conservative measures is often sufficient for treatment. If there is no improvement in symptoms, narrow-spectrum antibiotics may be prescribed to cover common skin flora.
Some key points to consider in the treatment of non-breastfeeding mastitis include:
- The use of nonsteroidal anti-inflammatory drugs, such as ibuprofen, to manage pain and inflammation
- The application of ice to the affected area to reduce swelling and pain
- The importance of adequate hydration to help manage symptoms
- The potential need for antibiotics, such as dicloxacillin or cephalexin, if symptoms do not improve with conservative measures
It is also important to note that the evidence for the treatment of non-breastfeeding mastitis is limited, and most studies focus on lactational mastitis. However, the principles of treatment are similar, and the goal is to manage symptoms and prevent complications, such as abscess formation. As stated in 1, the best approach is to start with conservative measures and consider antibiotics only if symptoms persist or worsen.
In terms of specific antibiotics, the choice will depend on the suspected causative organism and the patient's allergy history. However, narrow-spectrum antibiotics that cover common skin flora, such as Staphylococcus aureus, are typically the first line of treatment. As noted in 1, the use of probiotics for treatment or prevention is not supported by good evidence.
Overall, the treatment of non-breastfeeding mastitis requires a thoughtful and individualized approach, taking into account the patient's symptoms, medical history, and potential allergies. By starting with conservative measures and considering antibiotics only if necessary, healthcare providers can help manage symptoms and prevent complications in patients with non-breastfeeding mastitis.