Obstetric and Gynecological Infections

  • Sabine Enenkel
  • Wolfgang Stille


Topical chemotherapy is usually adequate for superficial infections of the vagina or vulva. Pelvic inflammatory disease (PID), puerperal sepsis, febrile abortion, and bartholinitis, however, require systemic chemotherapy in high dosage. The causative organisms are usually not known at the start of treatment, and mixed infections are common. Therefore, treatment with combinations covering the spectrum of potential organisms as far as possible is indicated. During pregnancy, the choice of antibiotics is limited due to the risk of toxicity to the fetus. Benzylpenicillin, Phenoxymethylpenicillin, ampicillin, cefazolin, cefoxitin, cefotaxime, and erythromycin are generally safe throughout pregnancy.


Chlamydia Trachomatis Pelvic Inflammatory Disease Neisseria Gonorrhoeae Vaginal Discharge Procaine Penicillin 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • Sabine Enenkel
    • 1
  • Wolfgang Stille
    • 2
  1. 1.Department of PediatricsUniversity Hospital, Johann Wolfgang Goethe-UniversitätFrankfurt/Main 70Germany
  2. 2.Department of Internal MedicineUniversity Hospital Johann Wolfgang Goethe-UniversitätFrankfurt/Main 70Germany

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