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Designing a breast abscess pathway: a guide for general surgeons

Authors Naseem S, Hamad A

Received 20 March 2018

Accepted for publication 27 June 2018

Published 19 September 2018 Volume 2018:10 Pages 1—5


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Suresh Antony

Salma Naseem,1 Ahmed Hamad2

1Breast Unit, Department of Surgery, Surrey & Sussex Healthcare NHS Trust, Redhill, UK; 2Breast Unit, Department of Surgery, Mid Cheshire NHS Foundation Trust, Crewe, UK

Abstract: Breast infections constitute one of the most common emergencies presenting to the accident and emergency globally with the condition ranging from mild infection to sepsis. These patients are managed by the accident and emergency staff and the on-call general surgeons. Management is variable depending on the expertise of the staff attending to this group. This may lead to unnecessary hospital admission, perhaps culminating in patient dissatisfaction and injudicious use of resources. Herein, based on a single-center study, we propose a simple, clear and pragmatic pathway for acute breast infections. The pathway addresses complete evaluation and states both the indications for conservative and open surgical management. It is hoped that this would achieve an improved patient experience leading to service improvement by eliminating variability of care.

Keywords: mastitis, breast abscess, antibiotics, breast imaging

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