Dear Dr Hale,
I have been searching and cannot come up with a good answer on this. We have a mom in our NICU that delivered at 32 week infant. She had nipple piercings that closed and so they were repierced. According to the Mom, she states that she has had drainage from these piercings for a year that "smells like pus." We had the discharge cultured and it grew skin flora as well as heavy GBS but no neutrophils so she is colonized and not sick nor having mastitis. She was a C Section and was treated with antibiotics after due to early delivery not a vaginal GBS infection. Our neonatologist has ordered for us not to use her milk, a culture was sent of her milk with no results as of yet, hopefully in a day or two we will have some. Since the baby is in the NICU and a preemie our neonatologist is very "conservative" when it comes to these things.
Do you know of any references, or any information on this to guide me as I help the neonatologist decide what is best?
Any help or guidance would be appreciated,
Lori Lindsey, RN IBCLC RLC
St Alexius Medical Center
NICU Lactation Consultant
Hoffman Estates, IL
847-843-2000 ext 6853
I have been searching and cannot come up with a good answer on this. We have a mom in our NICU that delivered at 32 week infant. She had nipple piercings that closed and so they were repierced. According to the Mom, she states that she has had drainage from these piercings for a year that "smells like pus." We had the discharge cultured and it grew skin flora as well as heavy GBS but no neutrophils so she is colonized and not sick nor having mastitis. She was a C Section and was treated with antibiotics after due to early delivery not a vaginal GBS infection. Our neonatologist has ordered for us not to use her milk, a culture was sent of her milk with no results as of yet, hopefully in a day or two we will have some. Since the baby is in the NICU and a preemie our neonatologist is very "conservative" when it comes to these things.
Do you know of any references, or any information on this to guide me as I help the neonatologist decide what is best?
Any help or guidance would be appreciated,
Lori Lindsey, RN IBCLC RLC
St Alexius Medical Center
NICU Lactation Consultant
Hoffman Estates, IL
847-843-2000 ext 6853
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