Postoperative infections in obstetrics and gynecology

Oluwatosin Jaiyeoba
Clinical Obstetrics and Gynecology · 2012 · vol. 55(4) , pp. 904–913 · doi:10.1097/grf.0b013e3182714734 · PMID:23090459 · W2004655669
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This review describes postoperative infections in obstetrics and gynecology, noting that antibiotic prophylaxis reduces but does not eliminate complications like endomyometritis and pelvic abscess, which are treated with broad-spectrum antibiotics.

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Abstract

Postoperative infection is the most commonly seen complication of surgery in obstetrics and gynecology. The use of antibiotic prophylaxis has greatly decreased though not completely eliminated this adverse outcome. Postoperative infections include wound cellulitis, wound abscess, endomyometritis, pelvic cellulitis, and pelvic abscess. Infections usually manifest as fever and greater than normal postoperative pain. Refractory fevers maybe because of septic pelvic vein thrombophlebitis or maybe noninfectious in origin. Broad-spectrum antibiotics should be initiated as soon as possible when diagnosis of postoperative infection is made; most patients will respond to treatment within 24 to 48 hours when appropriate antibiotics are selected.

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MeSH descriptors

Cesarean Section Endometritis Hysterectomy Surgical Wound Infection Surgical Wound Infection Anti-Bacterial Agents Anti-Bacterial Agents Cesarean Section Endometritis Endometritis Endometritis Female Humans Hysterectomy Pelvic Infection Pelvic Infection Pelvis Pelvis Risk Factors Surgical Wound Infection

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