| The established principle of surgical management of abscesses has been incision and free drainage; this permits healing by secondary intention or treatment by secondary closure. This modality of treatment has been challenged with the introduction of antibiotics. The infection often presents in the second postpartum week and is often precipitated in the presence of milk stasis. There is an increase in the incidence of methicillin resistant Staphylococcus aureus (MRSA) breast abscess which is susceptible to antimicrobials such as trimethoprim-sulfamethoxazole, fluoroquinolones, and clindamycin. Avoidance of repeated aspiration was the advantage of antibiotics into abscess cavity is probably beneficial. Furthermore Residual abscess, Secondary infection, time for complete healing and hospital stray is better with closed drainage of breast abscess. Primary closure with negative suction drain is a better alternative technique over the conventional incision and drainage method of acute abscesses. Future studies with larger sample sizes, and including larger abscesses, may better help define which closure method is superior.ddd |
