Ticarcillin/clavulanate for treatment of postpartum endometritis

Rev Infect Dis. 1991 Jul-Aug:13 Suppl 9:S758-62. doi: 10.1093/clinids/13.supplement_9.s758.

Abstract

Postpartum endometritis continues to be the leading cause of morbidity following cesarean section. This infection is commonly polymicrobial, involving aerobic, facultative, and obligate anaerobic gram-negative bacteria as well as gram-positive bacteria. The major risk factor for the development of post-cesarean section endometritis is duration of labor with ruptured amniotic membranes of greater than 6 hours. The most frequently utilized antibiotic regimen employed for treatment of postpartum endometritis is the combination of clindamycin and gentamicin. The combination ticarcillin/clavulanate has a spectrum of activity resembling that of clindamycin and gentamicin. In the data reported, cure rates among patients treated with ticarcillin/clavulanate were similar to the rates for those treated with clindamycin plus gentamicin as well as those for cefoxitin.

Publication types

  • Review

MeSH terms

  • Cesarean Section*
  • Clavulanic Acids / therapeutic use*
  • Drug Therapy, Combination / therapeutic use
  • Endometritis / drug therapy*
  • Endometritis / etiology
  • Female
  • Humans
  • Pregnancy
  • Puerperal Infection / drug therapy*
  • Puerperal Infection / etiology
  • Risk Factors
  • Ticarcillin / therapeutic use*
  • beta-Lactamase Inhibitors*

Substances

  • Clavulanic Acids
  • beta-Lactamase Inhibitors
  • ticarcillin-clavulanic acid
  • Ticarcillin