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Puerperal sepsis (aetiology (common organisms (others (clostridium spp.,…
Puerperal sepsis
aetiology
genital tract infection
GAS
retained placental tissue
perineal infection
UTI
mastitis
c section incision infection
respiratory infection
common organisms
GAS
e.coli
s.aureus
s.pneumoniae
others
clostridium spp.
chlamydia
gonococci
ancillary
bloods
FBC
U+Es
Cr
serum lactate
blood cultures
relevant imaging to confirm source/exclude retained placental products
samples guided by suspicion of source
MSU
throat swab
vaginal swab
Breast Milk culture
sputum culture
wound culture
treatment
ABCs
find focus and deal with it asap
broad spectrum IVAbx
Abx choice limited by breast feeding
high level of suspicion
clinical
signs/red flags
temp >38 or <36
HR>90
RR>20
systolic <90
sp02 <95
new onset confusion/altered mental state
symptoms
fever
diarrhoea
vomitting
lethargy
severe pelvic and back pain
DDx
thromboembolism
secondary post partum haemorrhage
definition
sepsis developing after birth until 6/52 postnatally
diagnosis
clinical