Puerperal sepsis

O86.0-4/O86.8


DESCRIPTION

Clinical features include a temperature ≥ 38°C (usually ≥ 2 days), often accompanied by offensive vaginal discharge (lochia) and/or abdominal pain within the first 10 days postpartum.

GENERAL MEASURES

  • Monitor vital parameters, e.g. Hb, pulse, BP, temperature.
  • Treat for shock if indicated.

MEDICINE TREATMENT

  • Ceftriaxone, IV, 1 g as a single dose.


CAUTION: USE OF CEFTRIAXONE
Do not administer calcium-containing fluids, e.g. Ringer-Lactate, concurrently with ceftriaxone.


AND

  • Metronidazole, oral, 400 mg as a single dose.

REFERRAL

All cases.