Postpartum endometritis - Revision history

Aidan at 15:11, 30 January 2024

2024-01-30T15:11:07Z

← Older revision		Revision as of 15:11, 30 January 2024
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	*Most common cause of postpartum fever		*Most common cause of postpartum fever
	*More common after Cesarean section, PROM, preterm or postterm delivery, chorioamnionitis, prolonged labor, maternal anemia, maternal diabetes, multiple vaginal examinations, and [[bacterial vaginosis]]		*More common after [[Cesarean section]], [[PROM]], preterm or postterm delivery, [[chorioamnionitis]], prolonged labor, [[maternal anemia]], [[maternal diabetes]], multiple vaginal examinations, and [[bacterial vaginosis]]

	==Clinical Manifestations==		==Clinical Manifestations==

Aidan: /* Investigations */

2023-03-03T15:11:26Z

Investigations

← Older revision		Revision as of 15:11, 3 March 2023
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	==Investigations==		==Investigations==

			*Blood cultures
	*Cervical swabs for culture
	*~~Vaginal~~ swabs for ~~STI NAAT~~		*Consider cervical swabs for culture
			*Consider vaginal swabs for STI NAAT
	*Imaging
			*Consider imaging to rule out other causes or complications

	==Management==		==Management==

Aidan at 15:10, 3 March 2023

2023-03-03T15:10:58Z

@@ Line 6: / Line 6: @@
 *Usually '''polymicrobial'''
-*[[Streptococcus agalactiae]]
+**[[Streptococcus pyogenes]]
 ===Epidemiology===
@@ Line 27: / Line 39: @@
 *Abdominal and pelvic pain
 *May become complicated by [[bacteremia]], abscess, [[toxic shock syndrome]], [[peritonitis]], [[sepsis]], [[myometritis]], and [[septic pulmonary emboli]] or [[septic pelvic thrombophlebitis]]
 ==Investigations==

Aidan: Text replacement - " species]]" to "]]"

2022-02-12T12:28:11Z

Text replacement - " species]]" to "]]"

← Older revision		Revision as of 12:28, 12 February 2022
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	*[[Streptococcus pyogenes]]		*[[Streptococcus pyogenes]]
	*[[Streptococcus agalactiae]]		*[[Streptococcus agalactiae]]
	*[[Staphylococcus ~~species~~]]		*[[Staphylococcus]]
	*[[Mycoplasma hominis]]		*[[Mycoplasma hominis]]
	*[[Gram-negative bacilli]]		*[[Gram-negative bacilli]]

Aidan at 13:32, 10 December 2021

2021-12-10T13:32:00Z

← Older revision		Revision as of 13:32, 10 December 2021
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	*Malodorous or purulent vaginal discharge, or per-vaginal bleeding		*Malodorous or purulent vaginal discharge, or per-vaginal bleeding
	*Abdominal and pelvic pain		*Abdominal and pelvic pain
	*May become complicated by abscess, toxic shock syndrome, peritonitis, sepsis, septic pulmonary emboli, ~~and~~ ~~myometritis~~		*May become complicated by [[bacteremia]], abscess, [[toxic shock syndrome]], [[peritonitis]], [[sepsis]], [[myometritis]], and [[septic pulmonary emboli]] or [[septic pelvic thrombophlebitis]]

	==Investigations==		==Investigations==

Aidan at 14:41, 24 August 2020

2020-08-24T14:41:56Z

← Older revision		Revision as of 14:41, 24 August 2020
Line 1:		Line 1:
	== Background ==		==Background==

	* Infection of the endometrium (uterine lining) within 10 days of delivery		*Infection of the endometrium (uterine lining) within 10 days of delivery

	=== Microbiology ===		===Microbiology===

	* Usually '''polymicrobial'''		*Usually '''polymicrobial'''
	* [[Streptococcus pyogenes]]		*[[Streptococcus pyogenes]]
	* [[Streptococcus agalactiae]]		*[[Streptococcus agalactiae]]
	* [[Staphylococcus species]]		*[[Staphylococcus species]]
	* [[Mycoplasma hominis]]		*[[Mycoplasma hominis]]
	* [[Gram-negative bacilli]]		*[[Gram-negative bacilli]]
	* [[Gardnerella vaginalis]]		*[[Gardnerella vaginalis]]
	* [[Anaerobes]], including [[Bacteroides fragilis]], [[Clostridium sordellii]], and [[Clostridium perfringens]]		*[[Anaerobes]], including [[Bacteroides fragilis]], [[Clostridium sordellii]], and [[Clostridium perfringens]]
	* Uncommonly associated with [[Neisseria gonorrhoeae]] or [[Chlamydia trachomatis]]		*Uncommonly associated with [[Neisseria gonorrhoeae]] or [[Chlamydia trachomatis]]

	=== Epidemiology ===		===Epidemiology===

	* Most common cause of postpartum fever		*Most common cause of postpartum fever
	* More common after Cesarean section, PROM, preterm or postterm delivery, chorioamnionitis, prolonged labor, maternal anemia, maternal diabetes, multiple vaginal examinations, and [[bacterial vaginosis]]		*More common after Cesarean section, PROM, preterm or postterm delivery, chorioamnionitis, prolonged labor, maternal anemia, maternal diabetes, multiple vaginal examinations, and [[bacterial vaginosis]]

	== Clinical Manifestations ==		==Clinical Manifestations==

	* [[Fever]] within 10 days of delivery		*[[Fever]] within 10 days of delivery
	** Note, however, that low-grade fever can be common within the day after delivery		**Note, however, that low-grade fever can be common within the day after delivery
	* Malodorous or purulent vaginal discharge, or per-vaginal bleeding		*Malodorous or purulent vaginal discharge, or per-vaginal bleeding
	* Abdominal and pelvic pain		*Abdominal and pelvic pain
	* May become complicated by abscess, toxic shock syndrome, peritonitis, sepsis, septic pulmonary emboli, and myometritis		*May become complicated by abscess, toxic shock syndrome, peritonitis, sepsis, septic pulmonary emboli, and myometritis

	== Investigations ==		==Investigations==

	* Cervical swabs for culture		*Cervical swabs for culture
	* Vaginal swabs for STI NAAT		*Vaginal swabs for STI NAAT
	* Imaging		*Imaging

	== Management ==		==Management==

	* Broad-spectrum intravenous antibiotics such as [[Is treated by::clindamycin]] and [[Is treated by::gentamicin]]		*Broad-spectrum intravenous antibiotics such as [[Is treated by::clindamycin]] and [[Is treated by::gentamicin]]

			[[Category:Obstetrical infections]]

Aidan: Created page with "== Background == * Infection of the endometrium (uterine lining) within 10 days of delivery === Microbiology === * Usually '''polymicrobial''' * Streptococcus pyogenes..."

2020-08-24T14:28:48Z

Created page with "== Background == * Infection of the endometrium (uterine lining) within 10 days of delivery === Microbiology === * Usually '''polymicrobial''' * Streptococcus pyogenes..."

New page

== Background ==

* Infection of the endometrium (uterine lining) within 10 days of delivery

=== Microbiology ===

* Usually '''polymicrobial'''
* [[Streptococcus pyogenes]]
* [[Streptococcus agalactiae]]
* [[Staphylococcus species]]
* [[Mycoplasma hominis]]
* [[Gram-negative bacilli]]
* [[Gardnerella vaginalis]]
* [[Anaerobes]], including [[Bacteroides fragilis]], [[Clostridium sordellii]], and [[Clostridium perfringens]]
* Uncommonly associated with [[Neisseria gonorrhoeae]] or [[Chlamydia trachomatis]]

=== Epidemiology ===

* Most common cause of postpartum fever
* More common after Cesarean section, PROM, preterm or postterm delivery, chorioamnionitis, prolonged labor, maternal anemia, maternal diabetes, multiple vaginal examinations, and [[bacterial vaginosis]]

== Clinical Manifestations ==

* [[Fever]] within 10 days of delivery
** Note, however, that low-grade fever can be common within the day after delivery
* Malodorous or purulent vaginal discharge, or per-vaginal bleeding
* Abdominal and pelvic pain
* May become complicated by abscess, toxic shock syndrome, peritonitis, sepsis, septic pulmonary emboli, and myometritis

== Investigations ==

* Cervical swabs for culture
* Vaginal swabs for STI NAAT
* Imaging

== Management ==

* Broad-spectrum intravenous antibiotics such as [[Is treated by::clindamycin]] and [[Is treated by::gentamicin]]