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