BREAST ABSCESSES REQUIRING REPEAT INTERVENTIONS AND THEIR ASSOCIATED RISK FACTORS: A PROSPECTIVE, SINGLE CENTRED STUDY

B JAWAID; F ZAHEER; H SHAHAB; . KOMAL; S SALMAN; B SHAKEEL

doi:10.54112/bcsrj.v2024i1.657

Authors

B JAWAID Dow University of Health Sciences, Karachi, Pakistan
F ZAHEER Dow University of Health Sciences, Karachi, Pakistan
H SHAHAB Dow University of Health Sciences, Karachi, Pakistan
. KOMAL Dow University of Health Sciences, Karachi, Pakistan
S SALMAN Dow University of Health Sciences, Karachi, Pakistan
B SHAKEEL Dow University of Health Sciences, Karachi, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.657

Keywords:

Abscess, Risk Factors, Microorganisms, Incision And Drainage

Abstract

The primary objective of the present study was to identify the frequency of breast abscesses requiring repeated intervention and to determine the risk factors associated with breast abscesses requiring repeated intervention. This observational study was conducted at surgical unit 5, Dr. Ruth K. M. Pfau Civil Hospital Karachi from January 2023 to June 2023. Patients’ demographics and other study-related information were recorded in the predesigned study performa. Afterward, the patient’s baseline blood workup was sent, and an ultrasound of the abscess was performed. Incision and drainage of the breast abscess were performed under general anesthesia by a year 4 general surgery resident. he average age of the 169 participants was 35 years with an average BMI of 25kg/m2. The average days observed for presenting the symptoms in study participants were 8 days. In the present study, 55.6% were lactating participants, 28.4% had diabetes, 16.6% were smokers, 11.8% had hypotension, 4.7% had ischemic heart disease, and 4.1% were pregnant. One incision and drainage needed participants (n=135), and repeated incision and drainage needed participants (n=34). 20% of our patients underwent repeated Incision and Drainage for breast abscess, where statistically significant risk factors included advancing age, diabetes, and smoking. In conclusion, our research shows patients with advancing age, diabetes and history of smoking should be given paramount focus when treating breast abscess as they have higher chances of failed treatment with incision and drainage and disease recurrence.

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