26 nov. 2009 CONSIDERATII CLINICE SI TERAPEUTICE IN MASTITELE PUERPERALE
Pîrgaru J., Dr. Raca N.
Spitalul Clinic Judetean de Urgenta Craiova
Rezumat
Autorii au luat în studiu 280 de mastite puerperale din cele 11.200 de nasteri (în ultimii 5 ani). S-a urmarit frecventa acestora, formele clinice, debutul bolii, germenii implicati, dinamica procesului inflamator, tratamentul adecvat medicamentos si chirurgical. Autorii constata:o frecventa destul de mare, 2,5I din nasteri, forma predominanta fiind cea infiltrativ-difuza,o evolutie rapida de la o forma la alta în ultimii ani, si un debut insidios, în multe cazuri, datorita antibioterapiei uneori nerationale.
Germenul implicat frecvent este stafilococul auriu, care este uneori foarte rezistent la antibioticele obisnuite. Tratamentul adecvat este conform antibiogramei. Nu se limiteaza lichidele, iar în cazurile supurate se practica incizii largi cu drenaj.
Abstract – CLINICAL CONSIDERATION ABOUT PUERPERAL MASITITIS
The authors have taken into study 280 mastitis of a total of 11.200 births in the last 5 years. Their frequency, clinical forms, the debut of the disease, the germs involved, the dynamics of the inflammatory process, the adequate treatment, both medicinal and surgical have been followed. The authors have determined the following: a very big frequency, 2,5I of the total number of births during the 5 years, the prevalent form being that of diffuse infiltration, a fast evolution from one form to the other in the last years, an insidious debut in many cases due to the antibiotherapy, sometimes irrational.
The most frequent involved germ is Staphylococcus aureus which can be very resistant at regular antibiotics. The adequate treatment is according to the antibiogram. Liquids are not limited, and in the event of suppuration, a large incision with drainage is often practiced.