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Ultrasound Guided Needle Aspiration Versus Surgical Drainage in the Management of Breast Abscesses: A Ugandan Experience.

Chandika, A. B., Gakwaya, A. M., Kiguli-Malwadde, E. and Chalya, P. L. (2012) Ultrasound Guided Needle Aspiration Versus Surgical Drainage in the Management of Breast Abscesses: A Ugandan Experience. BMC research notes, 5. p. 12. ISSN 1756-0500

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Abstract

Despite breast abscess becoming less common in developed countries, it has remained one of the leading causes of morbidity in women in developing countries. A randomized controlled trial was conducted at Mulago hospital complex in Kampala Uganda to establish whether ultrasound guided needle aspiration is a feasible alternative treatment option for breast abscesses. A total of 65 females with breast abscess were analyzed, of these 33 patients were randomized into the ultrasound guided needle aspiration and 32 patients in the Incision and drainage arm. The mean age was 23.12, most of them were lactating (66.2%), primipararous (44.6%) with peripheral abscesses (73.8%) located in the upper lateral quadrant (56%).The mean breast size was 3.49 cm. The two groups were comparably in demographic characteristic and breast abscess size. Survival analysis showed no difference in breast abscess healing rate between the two groups (Log rank 0.24 df 1 and P = 0.63). Incision and drainage was found to be more costly than ultrasound guided aspiration (cost effective ratio of 2.85). Ultrasound guided needle aspiration is therefore a feasible and cost effective treatment option for both lactating and non lactating breast abscesses with a diameter up to 5 cm by ultrasound in an immune competent patient.

Item Type: Article
Keywords: Breast Abscess, Ultrasound Guided Needle Aspiration, Surgical Drainage, women health, Mulago, Uganda
Subjects: Health Systems > Community Health
Divisions: Catholic University of Health and Allied Sciences (CUHAS)
Depositing User: Mr Joseph Madata
Date Deposited: 22 May 2013 08:29
Last Modified: 22 May 2013 08:29
URI: http://ihi.eprints.org/id/eprint/1454

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