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Postoperative Infections in Obstetrics and Gynecology

JAIYEOBA, OLUWATOSIN MD

Clinical Obstetrics & Gynecology: December 2012 - Volume 55 - Issue 4 - p 904–913
doi: 10.1097/GRF.0b013e3182714734
Severe Infections in Gynecology

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.

Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, South Carolina

The author declares that she has nothing to disclose.

Correspondence: Oluwatosin Jaiyeoba, MD, Department of Obstetrics and Gynecology, Medical University of South Carolina, Suite 634 MSC 619, Charleston, SC. E-mail: jaiyeoba@musc.edu

© 2012 Lippincott Williams & Wilkins, Inc.