Septic pelvic vein thrombophlebitis
(postpartum, post pelvic surgery, post abortion)
- Check for pulmonary emboli.
- Heparin therapy recommended along with antibiotics.
- Ertapenem has not been studied in this clinical setting but has appropriate coverage of organisms involved.
Usual Pathogens
Polymicrobial:
Anaerobes
Viridans Group Streptococci
ß-haemolytic Streptococci
Enterobacterales
Empiric Therapy | Dose | Duration |
---|---|---|
Piperacillin-tazobactam | 3.375g IV q6h | 4-6 weeks |
Penicillin allergy
Empiric Therapy | Dose | Duration |
---|---|---|
Ceftriaxone | 2g IV daily | 4-6 weeks |
+ | ||
Metronidazole IV/PO | 500mg IV/PO q12h |