{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:28:29Z","timestamp":1791484109358,"version":"4.3.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["Research productivity scholarships (KPC)"],"award-info":[{"award-number":["Research productivity scholarships (KPC)"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Breastfeeding is strongly promoted by health authorities, but there is little research on whether health professionals provide best-practice care for women experiencing mastitis\/breast abscess.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>To explore management of mastitis\/breast abscess in hospital emergency departments (EDs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Medical records of patients presented to hospital EDs in Australia, Brazil, Croatia, Germany and T\u00fcrkiye with lactational mastitis\/abscess between 2017 and 2023 were reviewed. Demographic and clinical information (including symptoms, management, and investigations) was extracted and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 580 women with mastitis\/breast abscess (646 Emergency Department presentations, mostly in the first 8\u2009weeks postpartum) were identified during the study period. The majority of the women had symptoms of mastitis\/breast abscess (breast pain, lump, and inflammation) for &gt; 48\u2009hours before presenting in the Emergency Department. In Australia, culture and sensitivity testing of milk was available for 44% (146\/331) of presentations.\n                      <jats:italic toggle=\"yes\">S. aureus<\/jats:italic>\n                      was the most common bacteria isolated (33%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 48), of which 6% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3) were methicillin-resistant. The use of diagnostic ultrasound varied between sites, from 5% (3\/65) in Croatia to 82% (40\/49) in Germany. Breast abscesses were mostly managed by ultrasound-guided aspiration in Australia, whereas incision and drainage was standard care in Germany. Amoxicillin\/clavulanate was most commonly prescribed in Croatia (57%, 31\/54) and T\u00fcrkiye (69%, 28\/42), whereas flucloxacillin, cephalexin, or cefuroxime was primarily used in Australia (86%, 272\/322), Brazil (62%, 66\/106), or Germany (80%, 33\/41), respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The management of mastitis\/breast abscess varied considerably between countries. International evidence-based guidelines for the management of lactational mastitis are urgently needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344251338245","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T01:54:32Z","timestamp":1748483672000},"page":"401-411","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Management of Mastitis in the Hospital Setting: An International Audit Study"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2510-1399","authenticated-orcid":false,"given":"Lisa H.","family":"Amir","sequence":"first","affiliation":[{"name":"Judith Lumley Centre, School of Nursing &amp; Midwifery, La Trobe University, Bundoora, VIC, Australia"},{"name":"Breastfeeding Service, Royal Women\u2019s Hospital, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3604-852X","authenticated-orcid":false,"given":"Kelly P.","family":"Coca","sequence":"additional","affiliation":[{"name":"School of Nursing Escola Paulista de Enfermagem, Universidade Federal de S\u00e3o Paulo, Sao Paulo, Brazil"},{"name":"Breastfeeding Center Ana Abrao, Universidade Federal de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia Juliana","family":"Mello Da Silva","sequence":"additional","affiliation":[{"name":"School of Nursing Escola Paulista de Enfermagem, Universidade Federal de S\u00e3o Paulo, Sao Paulo, Brazil"},{"name":"Biological and Health Sciences Centre, Universidade Federal de Sergipe, Aracaju, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia Massumi","family":"Okada","sequence":"additional","affiliation":[{"name":"Leonor Mendes de Barros Hospital, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcliz","family":"Onat Demir","sequence":"additional","affiliation":[{"name":"Midwifery Department, School of Health Sciences, Kapadokya University, \u00dcrg\u00fcp, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Busra","family":"Duran","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Nursing, Vocational School of Health, Karatay University, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00fcleyman","family":"Kargin","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Konya City Hospital, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00fcbra","family":"G\u00fcll\u00fc","sequence":"additional","affiliation":[{"name":"Clinic of General Surgery, Afyonkarahisar Health Sciences University Hospital, Konya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Medical St","given":"Lara","family":"Delic","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Split, Split, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Medical St","given":"Magdalena","family":"Dragicevic","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Split, Split, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Rosenbauer","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Split, Split, Croatia"},{"name":"Department of Child and Adolescent Medicine, Regiomed Clinic Coburg, Coburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mee-Har Michelle","family":"Ngan","sequence":"additional","affiliation":[{"name":"Breastfeeding Service, Royal Women\u2019s Hospital, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wirawan","family":"Jeong","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Royal Women\u2019s Hospital, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moni Rani","family":"Saha","sequence":"additional","affiliation":[{"name":"Torrens University Australia, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3618-6017","authenticated-orcid":false,"given":"Irena","family":"Zakarija-Grkovic","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Split, Split, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,28]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Amir L. 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