Diferencia entre revisiones de «Template:Endometritis Antibiotics»

(Convert to AntibioticDose template for SMW integration)
 
(No se muestran 4 ediciones intermedias de 2 usuarios)
Línea 1: Línea 1:
====<48hrs Post Partum====
====<48hrs Post Partum====
''Treatment is targeted against polymicrobial infections, most often 2-3 organisms of normal vaginal flora''
''Treatment is targeted against polymicrobial infections, most often 2-3 organisms of normal vaginal flora''
*(Prefered first line) [[Clindamycin]] 900mg q8hrs PLUS [[Gentamicin]] 5mg/kg IV q24hours (same efficacy and more cost effective vs. 1.5mg/kg) or 1.5mg/kg IV q8hrs OR
*(Preferred first line) {{AntibioticDose|disease=Postpartum endometritis|drug=Clindamycin|dose=900mg IV q8hrs|context=Preferred first line; <48hrs postpartum}} PLUS {{AntibioticDose|disease=Postpartum endometritis|drug=Gentamicin|dose=5mg/kg IV q24hrs or 1.5mg/kg IV q8hrs|context=Combined with Clindamycin; <48hrs postpartum}}<ref>Mackeen AD, Packard RE, Ota E, Speer L. Antibiotic regimens for postpartum endometritis. Cochrane Database Syst Rev. 2015 Feb 2;2015(2):CD001067. doi: 10.1002/14651858.CD001067.pub3. PMID: 25922861; PMCID: PMC7050613</ref> OR
*[[Doxycycline]] 100mg IV PO q12hrs daily  PLUS
*{{AntibioticDose|disease=Postpartum endometritis|drug=Doxycycline|dose=100mg IV/PO q12hrs|context=<48hrs postpartum; combined with Ampicillin/Sulbactam or Cefoxitin}} PLUS
**[[Ampicillin/Sulbactam]] 3g IV q6hrs  
**{{AntibioticDose|disease=Postpartum endometritis|drug=Ampicillin/Sulbactam|dose=3g IV q6hrs|context=<48hrs postpartum; combined with Doxycycline}}
**[[Cefoxitin]] 2g IV q6hrs daily
**{{AntibioticDose|disease=Postpartum endometritis|drug=Cefoxitin|dose=2g IV q6hrs|context=<48hrs postpartum; combined with Doxycycline}}
 
====>48hrs Post Partum====
====>48hrs Post Partum====
''Use Metronidazole with caution in breastfeeding mothers as Metronidazole and its active hydroxyl metabolite are present in breast milk at concentrations similar to maternal plasma concentrations. Metronidazole and its active metabolite can be detected in the serum of breastfeeding infants (Gray 1961; Heisterberg 1983; Passmore 1988)''
*{{AntibioticDose|disease=Postpartum endometritis|drug=Doxycycline|dose=100mg IV or PO q12hrs|context=>48hrs postpartum; combined with Metronidazole}} + {{AntibioticDose|disease=Postpartum endometritis|drug=Metronidazole|dose=500mg IV or PO q8hrs|context=>48hrs postpartum; combined with Doxycycline}}
*[[Doxycycline]] 100mg IV or PO q12hrs + [[Metronidazole]] 500mg IV or PO q8hrs daily
**Use Metronidazole with caution in breastfeeding mothers as its active metabolite is present in breast milk at concentrations similar to maternal plasma concentrations

Revisión actual - 02:24 20 mar 2026

<48hrs Post Partum

Treatment is targeted against polymicrobial infections, most often 2-3 organisms of normal vaginal flora

>48hrs Post Partum

  • Doxycycline 100mg IV or PO q12hrs + Metronidazole 500mg IV or PO q8hrs
    • Use Metronidazole with caution in breastfeeding mothers as its active metabolite is present in breast milk at concentrations similar to maternal plasma concentrations
  1. Mackeen AD, Packard RE, Ota E, Speer L. Antibiotic regimens for postpartum endometritis. Cochrane Database Syst Rev. 2015 Feb 2;2015(2):CD001067. doi: 10.1002/14651858.CD001067.pub3. PMID: 25922861; PMCID: PMC7050613