Adult
Infections in gynaecology
Warning
Includes:
- Bartholins abscess
- Surgical site infection
- Endometrial infection (after hysteroscopy/ missed miscarriage)
- PID (see also link to Sexual health)
Mild/ moderate infection and oral switch
Typically 3-5 days treatment
Preferred - Includes penicillin allergy (non-severe)
cefalexin 1g po tds +/- metronidazole 400mg po tds
Alternative - For penicillin allergy (severe) OR MRSA positive patients:
co-trimoxazole 960mg po bd +/- metronidazole 400mg po tds
Severe infection
Review daily for oral switch
Preferred - Includes penicillin allergy (non-severe):
cefazolin 2g iv tds AND metronidazole 400mg po tds (500mg iv tds if oral not possible)
Alternative - For penicillin allergy (severe):
co-trimoxazole 960mg iv or po bd AND metronidazole 400mg tds po (500mg iv tds if oral not possible)