Adult
Post-partum infection
Includes:
- Post-partum haemorrhage with fever
- Chorioamnionitis
- Endometritis
- Perineal infection (includes third or fourth degree tear)
- Infection after caesarean section
Severe sepsis and septic shock are medical emergencies and require prompt treatment with effective antimicrobials.
For IV options: See Ante-natal or post-partum - severe sepsis / septic shock guideline
Treat for 5 days
Preferred
Alternative
For penicillin allergy (severe) or MRSA positive patients: co-trimoxazole 960mg po bd
- For breastfeeding patients: Avoid co-trimoxazole in known G6PD deficiency, hyperbilirubinaemia and in jaundiced infants because of risk of kernicterus. In these situations discuss with Micro/ID.