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Treatment of puerperal infection usually begins with I.V. infusion of a broad-spectrum antibiotic to control the infection and prevent its spread while awaiting culture results. After identification of the infecting organism, a more specific antibiotic should be administered. (An oral antibiotic may be prescribed after hospital discharge.)
Ancillary measures include analgesics for pain; antiseptics for local lesions; and antiemetics for nausea and vomiting from peritonitis. Isolation or transfer from the maternity unit generally isn’t appropriate.
Supportive care includes bed rest, adequate fluid intake, I.V. fluids when necessary, and measures to reduce fever. Sitz baths and heat lamps may relieve discomfort from local lesions.
Surgery may be necessary to remove any remaining products of conception or to drain local lesions such as an abscess in parametritis.
Management of septic pelvic thrombophlebitis consists of heparinization for about 10 days in conjunction with broad-spectrum antibiotic therapy.
Source: Professional Guide to Diseases (Eighth Edition), 2005
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