avoid skin creams or talcum powders The majority of patients are treated successfully as outpatients with a follow-up appointment in to days to ensure the infection is improving Ill patients or those failing outpatient antibiotic therapy, require hospital admission for intravenous antibiotics Ultrasound confirms the presence of a breast abscess Breast abscesses should be drained via needle aspiration by a surgical specialist; incision and drainage are rarely necessary In the well-appearing older child or adolescent with breast abscess, ultrasound-guided needle aspiration has proven equivalent to surgical incision and drainage while minimizing breast damage Therefore, aspiration in combination with antibiotics has become the treatment of choice ED point-ofcare ultrasound (POCUS) with guided needle aspiration of breast abscesses is a promising treatment strategy but requires further evaluation