Painful Breastfeeding and Bacterial or Yeast Infection
The Prevalence of Yeast and Bacteria in Women With Painful Breastfeeding and the Diagnostic Value of Signs and Symptoms
調査の概要
状態
詳細な説明
Painful breastfeeding is one of the most common reasons for early weaning. Persistent pain associated with breastfeeding can sometimes be difficult to diagnose and is a source of frustration for the breastfeeding women as well as for healthcare providers.
The diagnosis of candida infection in breastfeeding women is generally based on signs and symptoms identified in case reports and without any culture. Breastfeeding pain has been described as superficial or deep in some studies. This deep pain syndrome as caused by candida or bacteria has been questioned. A few studies have cultured breast milk from women with deep breast pain and found Candida albicans infections or bacterial infections usually caused by Staphylococcus aureus. There still remains controversy and lack of evidence for candidiasis affecting the lactating breast as well as bacteria causing the pain. Ensured diagnostic methods are important due to the resistant problem with both antibiotics and antifungals. Only one study has described five key symptoms associated with candida. It was shiny, flaky nipple/areola, burning pain on the nipple/areola, non-stabbing pain or stabbing pain in the breast.
The objective of this study was to investigate the prevalence of candida and bacteria in women with superficial or deep breastfeeding pain and to identify signs and symptoms linked to candida or bacteria in breast milk and nipple/areola.
研究の種類
入学 (実際)
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- scored pain > = VAS 4
Exclusion Criteria:
- breastfeeding technique problems
- clinical signs of mastitis
- muscular pain
- breast surgery
- use of antibiotic or antifungal treatment during the last preceding week
- temperature > = 37 degree Celsius
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
---|
1. Deep pain group
1. Deep pain group; Pain in the breast
|
2. Superficial pain group
Pain on the nipple and/or aereola
|
3. Control group
No pain or other breastfeeding problems
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Bacteria
時間枠:Baseline (at admission)
|
Occurrence of bacteria: yes/no
|
Baseline (at admission)
|
Yeast
時間枠:Baseline (at admission)
|
Occurence of yeast: yes/no
|
Baseline (at admission)
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Pain
時間枠:Baseline (at admission)
|
VAS
|
Baseline (at admission)
|
Signs
時間枠:Baseline (at admission)
|
Nipple areola: cracks, red/pink, flaky, shiny, blurred, swollen, itching, smarting
|
Baseline (at admission)
|
Bacteria at follow-up
時間枠:2 weeks after baseline
|
Occurence of bacteria: yes/no
|
2 weeks after baseline
|
Yeast at follow-up
時間枠:2 weeks after baseline
|
Occurence of yeast: yes/no
|
2 weeks after baseline
|
協力者と研究者
スポンサー
捜査官
- スタディディレクター:Marie Berg, PhD,MPH,MNS、Sahlgrenska Academy at University of Gothenburg
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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Breast Infectionの臨床試験
-
Tianjin Medical University Cancer Institute and...Guangxi Medical University; Sun Yat-sen University; Chinese PLA General Hospital; The First Affiliated... と他の協力者完了