What is the management approach for a breast abscess?

For the management of a breast abscess, the correct approach is incision and drainage, alongside the recommendation to discontinue breastfeeding from the affected breast. A breast abscess involves a localized collection of pus within the breast tissue, which requires surgical intervention to promote healing and prevent further complications.

Incision and drainage is essential as it allows the pus to be evacuated, addressing the underlying infection directly. Antibiotic therapy may be utilized alongside this procedure to help clear the infection, but it is not sufficient as a standalone treatment for an abscess. Simply observing the condition or managing pain without addressing the abscess would lead to worsening of the infection and potentially serious complications.

Discontinuing breastfeeding from the affected breast is suggested to prevent the infant from ingesting any bacteria and also to allow proper healing of the breast tissue during the recovery phase. Although warm compresses and massage might provide comfort, they do not resolve the abscess and would not be appropriate management for a significant infection requiring drainage.

In summary, incision and drainage is the definitive management for a breast abscess, and advice against breastfeeding from the affected breast ensures safety and promotes healthcare recovery.