Talk:Mastitis

message: Whether or not an average breast feeding enthusiast from LLL is more adept than an average obstetrician is an opinion for forum discussions, not a fact for encyclopedias. 207.172.172.221 03:49, 11 November 2006 (UTC)
thread_title:  La Leche League 

message: I am working on several sections of this article and want to upload the changes in one go, if anyone is planning bigger changes would be better to mention it here so we don't waste too much effort. My changes will probably include
* update introduction
* expand and improve puerperal mastitis
* more extensive classification in nonpuerperal part
* subsections about duct ectasia, subareolar abscess/smold and maybe more
 Richiez (talk) 13:08, 28 December 2007 (UTC)
thread_title:  Bigger changes ahead 

message: Rises in sodium levels are found during mastitis. This is well reported.
However, could you please supply references for hyponatraemic shock in the breastfeeding child - a condition which I have never seen in 15 years of work with breastfeeding women with mastitis.
Mummy61 (talk) 05:48, 14 July 2008 (UTC)
replies: text: The formulation in the text is wrong (oversimplified). It was meant to say that an osmotic imbalance can result from sudden weaning resembling the symptoms of hyponatremic shock, not a real hyponatremic shock. I am looking at usable references for this. Richiez (talk) 09:39, 22 July 2008 (UTC)
thread_title:  ?Hyponatraemic shock 

message: This has been on my radar for some time but do not currently have the time to finish up the changes to commit them into the article.
 recently hit the headlines, some comments:
* their observed rate of abscesses (39% of mastitis cases) could be regarded extraordinary high. On average something like 5-15% would be expected but a higher rate is not very surprising in the context of a teaching hospital where they likely deal with more difficult cases.
* the MRSA rates in simple mastitis versus mastitis with abscess indeed suggest that MRSA can be a very important factor in the pathogenesis of puerperal breast abscess.
* the treatment success with conservative treatment and unspecific antibiotics once again raises the question if, how and when antibiotics ever help cure mastitis.
Latter question is not hypothetical. It should be well known (but maybe is not) since at least  that excellent treatment success is possible without antibiotics. In fact the reported results of Peters are so outstanding that one might wonder if antibiotics actually make things worse. It has been indeed asserted in literature that early use of antibiotics does increase risk of abscessation. Btw Universitätsklinik Frankfurt is an university hospital where a bias towards lighter cases appears very unlikely.
I would be surprised if we ever see any double blinded randomized trial of mastitis treatment methods. The question antibiotics or not and at which stage is difficult to decide, particularly because severity of symptoms on presentation is not a reliable predictor for neither outcome nor an indication of pathogenesis. In my opinion it seems clear that indiscriminate use of antibiotics (especially by insufficiently trained staff) should be minimized.
Richiez (talk) 15:27, 8 September 2008 (UTC)
thread_title: Mastitis, Antibiotics and MRSA

message: I've just redirected Acute mastitis here.  That article had very little information, and no sources.  It did say that acute puerperal and nonpuerperal mastitis are treated by antibiotics and surgical draining.  Can someone with a medical textbook handy write about treatment?  --SV Resolution(Talk) 12:50, 5 May 2009 (UTC)
replies: text:  Thanks for killing that article. The term "acute mastitis" is sometimes used but the only useful definition of it is that is acute in contrast to "chronic mastitis". Chronic mastitis is the less frequent one so by default everything you find refers to acute mastitis. Treatment differs by region, abscessation status and puerperal/nonpuerperal variant. Richiez (talk) 23:16, 7 June 2009 (UTC)
thread_title:  Acute Mastitis and treatment. 

message: is out. Seems like a very valuable addition to a nonexistent () body of evidence - they did even bacteria counts, almost unheard off in mastitis research. I am not sure I would wholeheartedly endorse the lactobacili now but it shows once again that antibiotics have extraordinary poor efficiacy in mastitis. Richiez (talk) 15:13, 25 June 2010 (UTC)
thread_title:  Probiotics vs. Antibiotics for puerperal mastitis 

message: Suggesting the merge because for most readers and many editors mastitis is identical to puerperal mastitis, leading to confusion, duplicated effort and readers looking at suboptimal articles. Long time ago it was intended to have mastitis as an overview for all inflammatory breast lesions but as of now the articles did grow to cover largely the same content.
Propose to merge puerperal mastitis into mastitis and provide a link to a disambiguation page on top of mastitis, make puerperal mastitis redirect to mastitis. The section about breast cancer&mastitis will be split and moved to respective subpages. Richiez (talk) 16:01, 13 August 2010 (UTC)
replies: text: Agree with this merge proposal. Debresser (talk) 21:07, 9 April 2020 (UTC)
thread_title:  Merger proposal 

message: Substantial rewrite and reshuffle of this and related articles, doing it here: User:Richiez/Drafts. Richiez (talk) 11:42, 19 January 2013 (UTC)
thread_title:  Merge in progress 

message: *Update the antibiotics used for treatment.
*State whether or not there is evidence that probiotics are beneficial.
*Elaborate on non-pregnancy related mastitis.
*Give evidence and data to support the relation between breast cancer and mastitis.
Amandabair (talk) 21:55, 29 July 2019 (UTC)
thread_title:  Foundations 2, 2019, Group 6a goals 

message: David's Peer Review
# Group 6A has made meaningful edits to this article such as expanding the sections on antibiotics for the treatment of mastitis as well as including another form of non-pregnancy related mastitis.In the treatment of idiopathic mastitis, I would have liked to see specific examples of steroids that are used.
# Group 6A has achieved some of their goals, however, they could have also provided the benefits of probiotics or the relation between breast cancer and mastitis if the data is available.
# Group 6A used uptodate for their references which is a great secondary source, however full access is not freely available to the public without a subscription. Could consider using the articles cited in uptodate to support the edits made in the article.
Davdang (talk) 16:26, 6 August 2019 (UTC)
thread_title:  Group 6C Peer Review 

message: I think this article should have a section about neonatal mastitis, that is mastitis in newborns. There are quite a few good sources around. And yet another section about puberty/adolescent mastitis. Debresser (talk) 21:08, 9 April 2020 (UTC)
thread_title:  Neonatal mastitis 

message: The following Wikimedia Commons file used on this page or its Wikidata item has been nominated for deletion:
* 
Participate in the deletion discussion at the . —Community Tech bot (talk) 20:06, 2 December 2022 (UTC)
thread_title:  A Commons file used on this page or its Wikidata item has been nominated for deletion