Evidence map›Paper›PMID 40437779›Full record

ArticleJournal of human lactation : official journal of International Lactation Consultant Association2025

Management of Mastitis in the Hospital Setting: An International Audit Study.

Lisa H Amir, Kelly P Coca, Marcia Juliana Mello Da Silva, Marcia Massumi Okada, Güliz Onat Demir, Busra Duran, Süleyman Kargin, Kübra Güllü, Lara Delic, Magdalena Dragicevic and 5 more

Abstract read
In one paragraph

Article in Journal of human lactation : official journal of International Lactation Consultant Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Lisa H AmirJudith Lumley Centre, School of Nursing & Midwifery, La Trobe University, Bundoora, VIC, Australia.ORCID 0000-0002-2510-1399
Kelly P CocaSchool of Nursing Escola Paulista de Enfermagem, Universidade Federal de São Paulo, Sao Paulo, Brazil.ORCID 0000-0002-3604-852X
Marcia Juliana Mello Da SilvaSchool of Nursing Escola Paulista de Enfermagem, Universidade Federal de São Paulo, Sao Paulo, Brazil.
Marcia Massumi OkadaLeonor Mendes de Barros Hospital, Sao Paulo, Brazil.
Güliz Onat DemirMidwifery Department, School of Health Sciences, Kapadokya University, Ürgüp, Türkiye.
Busra DuranDepartment of Obstetrics and Gynecology Nursing, Vocational School of Health, Karatay University, Konya, Türkiye.
Süleyman KarginDepartment of General Surgery, Konya City Hospital, Konya, Türkiye.
Kübra GüllüClinic of General Surgery, Afyonkarahisar Health Sciences University Hospital, Konya, Türkiye.
Lara DelicSchool of Medicine, University of Split, Split, Croatia.
Magdalena DragicevicSchool of Medicine, University of Split, Split, Croatia.
Maria RosenbauerSchool of Medicine, University of Split, Split, Croatia.
Mee-Har Michelle NganBreastfeeding Service, Royal Women's Hospital, Parkville, VIC, Australia.
Wirawan JeongPharmacy Department, Royal Women's Hospital, Parkville, VIC, Australia.
Moni Rani SahaTorrens University Australia, Melbourne, VIC, Australia.
Irena Zakarija-GrkovicSchool of Medicine, University of Split, Split, Croatia.ORCID 0000-0002-3618-6017

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreastfeeding 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. RESEARCH

aimTo explore management of mastitis/breast abscess in hospital emergency departments (EDs).

methodsMedical records of patients presented to hospital EDs in Australia, Brazil, Croatia, Germany and Türkiye with lactational mastitis/abscess between 2017 and 2023 were reviewed. Demographic and clinical information (including symptoms, management, and investigations) was extracted and analyzed.

resultsA total of 580 women with mastitis/breast abscess (646 Emergency Department presentations, mostly in the first 8 weeks postpartum) were identified during the study period. The majority of the women had symptoms of mastitis/breast abscess (breast pain, lump, and inflammation) for > 48 hours before presenting in the Emergency Department. In Australia, culture and sensitivity testing of milk was available for 44% (146/331) of presentations.

conclusionsThe management of mastitis/breast abscess varied considerably between countries. International evidence-based guidelines for the management of lactational mastitis are urgently needed.

Indexed as

MastitisAbscessAdultAnti-Bacterial AgentsAustraliaBreast FeedingCroatiaEmergency Service, HospitalFemaleGermanyHumansRetrospective StudiesAnti-Bacterial Agentsanti-bacterial agentsbreastfeedingclinical auditlactationmammarymastitismicrobiologyultrasonography

Identifiers

PMID40437779
PMCPMC12254515

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.