Literature review for - Flourish Paediatrics

Studies used to make evidence statement for breast abscess (prevalence, treatment & risk factors)
Reference Evan & Heads 1995 Vogel et al. 1999 Amir et al. 2004 Kvist & Rydhstroem
2005
Type of study Cohort Cohort Cohort Cross-sectional
Level of evidence II (aetiology) II (aetiology) II (aetiology) IV (aetiology)
Definition of
breastfeeding
Not stated Not stated Not stated Not stated
Intervention/
comparator
Breast abscess prevalence breast abscess formation Breast abscess prevalence Breast abscess prevalence
N 16,351 mothers 350 mothers. Follow up at
12 months was 94%
Population/study
information
Women who delivered at the
Sothern, Eastern and Central
Sydney health service
maternity hospitals between
1992-3.
Nurses completed a data
collection form about
incidence of mastitis
Mothers with healthy
infants were recruited from
an obstetric hospital in
Auckland, New Zealand.
Face-to-face interview at
first days postpartum.
Telephone interviews at
1,2,3,6,9 & 12 months
postpartum
1311. follow up at 6 months
was 91 % (1193)
Women were recruited from
two hospitals in Melbourne,
the Royal Women’s
Hospital (public) (1999–
2001) and Frances Perry
House (private) (2000–2001).
Telephone interview at 6
months post partum.
Quality N P N P
Results
Of 402 women who had No cases of abscess were 0.4% (0.14–0.98) of women
mastitis 10 of these women reported
who commenced
were hospitalized for
breastfeeding developed a
drainage of a breast abscess.
breast abscess
4/10 cases received narrow
spectrum antibiotics.
2.9% (1.0, 6.7)
maternal age vs parity vs
gestational age of infant
1,454,068
Retrieved data from the
Medical Birth Registry
and the National
Discharge Register in
Sweden between 1987-
2000.
0.1% women required
surgery due to a breast
abscess.
65% of breast abscess
cases occurred between
214