Antibiotic selection for mastitis during lactation

The treatment of lactation mastitis requires the selection of antibiotics according to the severity of the disease. Mild cases can be treated with cephalosporins or penicillins, while severe cases require intravenous antibiotics. Lactation mastitis is mainly caused by milk stasis or bacterial infection. Early symptoms include breast pain, redness and swelling, and in severe cases, fever and chills. Timely treatment can avoid complications such as breast abscesses.

1. Mild mastitis usually uses oral antibiotics, such as cephalexin, amoxicillin or clindamycin. These drugs are relatively safe for lactating women and do not affect breastfeeding. At the same time, patients should keep their breasts clean to avoid milk stasis, and can promote milk discharge through hot compresses and massage.

2. Moderate mastitis may require intravenous antibiotics, such as ceftriaxone or vancomycin. These drugs are suitable for patients with severe symptoms or those who do not respond well to oral antibiotics. During treatment, body temperature and breast symptoms should be closely monitored, and breast ultrasound examination should be performed if necessary to rule out abscess formation.

3. Patients with severe mastitis or abscesses need timely surgical drainage and intravenous antibiotics. Antibiotics, such as cefoperazone or metronidazole, should continue to be used after surgery to prevent the spread of infection. Patients need to stop breastfeeding and use a breast pump to empty the milk, and resume breastfeeding after the condition stabilizes.

The treatment of mastitis during lactation should follow the principle of individualization, and appropriate antibiotics and treatment plans should be selected according to the condition. Early intervention and rational use of drugs can effectively control infection and avoid complications. Patients should maintain good breast hygiene habits, have regular checkups, and consult professionals when necessary to ensure the health of mother and baby.