What should I do if acute mastitis does not subside with fever?
We can go to a formal hospital's breast department for routine blood tests and ultrasound examinations. If the blood count exceeds ten thousand, with increased neutrophils and a left shift in the nucleus indicating severe inflammation, we can apply local moist heat. Around the inflammation, penicillin and saline can be injected to promote the resolution of the inflammation. Systemically, antibiotics can be used, including penicillin, cephalosporins, or erythromycin. Since antibiotics can be secreted into breast milk and affect the baby, it is advisable to avoid using tetracyclines, aminoglycosides, sulfonamides, and metronidazole. The duration of antibiotic use should be determined based on the condition, which requires regular re-examination of the blood routine and breast ultrasound.
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