Page 286 - Learnwell EVS
P. 286
er genital tract infections (UGTI)
In penicillin-allerg ic patients, use clindamycin (2700 m g /d ay in 3 d iv id ed d oses or
injections) + gentamicin (5 m g /kg once d aily).
– In case of placental retention: perform d ig ital curettag e or m anual v acuum extraction
(refer to th e M S F h and book Obstetrics) 24 h ours after initiation of antibiotic th erapy.
– Analg esic treatm ent accord ing to pain intensity.
– If th e patient‟s cond ition d eteriorates or if fev er persists after 48-72 h ours of
treatm ent, consid er th e possibility of com plication requiring ad d itional treatm ent
(e.g . pelv ic abscess d rainag e), oth erw ise ch ang e th e antibiotic to ceftriaxone
+ d oxycycline + m etronid azole as in h ospital-based treatm ent of sexually transm itted
U GT I.
242
In penicillin-allerg ic patients, use clindamycin (2700 m g /d ay in 3 d iv id ed d oses or
injections) + gentamicin (5 m g /kg once d aily).
– In case of placental retention: perform d ig ital curettag e or m anual v acuum extraction
(refer to th e M S F h and book Obstetrics) 24 h ours after initiation of antibiotic th erapy.
– Analg esic treatm ent accord ing to pain intensity.
– If th e patient‟s cond ition d eteriorates or if fev er persists after 48-72 h ours of
treatm ent, consid er th e possibility of com plication requiring ad d itional treatm ent
(e.g . pelv ic abscess d rainag e), oth erw ise ch ang e th e antibiotic to ceftriaxone
+ d oxycycline + m etronid azole as in h ospital-based treatm ent of sexually transm itted
U GT I.
242
