Comment from expert advisory group
- Note higher and more frequent 6-hourly doses of antibiotics are required in mastitis treatment to ensure adequate tissue penetration.
- Low dose i.e., 250mg or 8-hourly dosing may result in treatment failure.
- Duration of treatment required can vary from 5 to 10 days.
- Patients should be reassessed after 5 days as treatment failures do occur and referral to hospital may be necessary if not responding to treatment. If improving but not fully resolved, extend treatment course.
- The patient should be encouraged to either breastfeed or express to ensure milk stasis does not occur. Cold compresses and analgesia should be used
Treatment
| Drug |
Dose |
Duration |
+/- Notes |
| 1st choice options |
| Flucloxacillin |
500mg-1g every 6 hours |
5 to 10 days |
Reassess after 5 days
of treatment as
failures do occur and
referral to hospital may
be necessary if not
responding to treatment.
If improving but not
fully recovered extend
treatment course.
|
| 2nd choice options / Penicillin Allergy |
| Clindamycin |
300mg-450mg every 6 hours |
5 to 10 days |
Treatment Table Mastitis May 2022.pdf (size 398 KB)
Patient Information
Reviewed May 2022
