O81: MAMMA: MASTITIS AND MAMMARY ABSCESS MANAGEMENT AUDIT

Abstract Presenting Author Email: [email protected] Research question Is there significant variation in the management of mastitis and breast abscesses between different hospitals UK Ireland? Background Aim Lactational affects a third breastfeeding women, 11% whom develop abscesses. Non-lactational 5-9% women. Management includes alleviation milk stasis antibiotics. Ultrasound-guided needle aspiration is recommended method treatment for Despite guideline recommendations, evidence suggesting practice, particularly concerning antibiotic prescribing, rates incision drainage length inpatient treatment. Considering that majority surgeons are no longer participating on-call roster acute presentation primary infections, we hypothesise such practice indeed exists across Ireland, where patients treated by non-breast specialist general surgeons. The aim MAMMA study to describe current Ireland provide recommendations best practice. Design Patients: Inclusion criteria: all female over age 16 with symptoms or abscess. Exclusion 1) male patients, 2) underlying cancer, 3) surgery within 90 days presentation, 4) implant situ on ipsilateral side. Intervention / Comparator (or main explanatory variable an observational study): following guidelines will be used as audit standards: WHO Mastitis Guidelines 2000, GAIN Treatment, & Prevention 2008, ABM Clinical Protocol #4: 2014, NICE Knowledge Summaries: Breast Abscess MAMMA: And Mammary abscess Audit Outcomes: Phase 1 increase our understanding patient pathways ease access services 2 collect prospective, real-time data nationwide. Specifically, enable us gather precise rate operative versus radiological management, waiting time ultrasound scan, outpatient treatment, hospital stay follow-up This highquality instrumental updating help standardise Ireland. Study design carried out 3 phases support national trainee collaborative: survey, prospective audit, re-audit. All manage invited participate. centres required register this per local protocol. collected managed using REDCap electronic capture tool. Team Infrastructure National collaborative established assistance Fold Academic Committee other regional research collaboratives. It driving force behind project. overseen Steering Committee, convened from key stake-holders variety medical surgical specialties, allied health care professionals representatives, who directly involved infections. Group (SMG) responsible analysis, dissemination results drafting publication. Regional leads represent each HEE region recruitment coordination collaboratives; they accountable SMG. Local collaboratives consist lead, maximum two collaborators one validator. Further information available www.mammastudy.com.