Overview
Uterine infection, also known as endometritis, is an inflammation of the inner lining of the uterus (endometrium). It can occur after childbirth, gynecological procedures, or as a complication of other infections.Diagnosis
Diagnosis is typically based on clinical symptoms and physical examination.
Symptoms may include fever, lower abdominal pain, uterine tenderness, and abnormal vaginal discharge 1.
Laboratory tests such as complete blood count and inflammatory markers may be used.
Cultures of vaginal or cervical discharge can help identify the causative organism.Management
Treatment involves antibiotics to target the likely bacterial pathogens.
Commonly used antibiotic regimens include clindamycin and gentamicin, often given intravenously 1.
Surgical intervention may be considered in severe or refractory cases.Special Populations
Pregnancy: Endometritis is a common complication following childbirth (postpartum endometritis) and can also occur during pregnancy. Prompt diagnosis and treatment are crucial to prevent maternal and fetal complications 1.Key Recommendations
Treatment of uterine infection typically involves broad-spectrum antibiotics targeting common pathogens 1.
In postpartum endometritis, intravenous clindamycin and gentamicin are frequently recommended 1.
Prompt diagnosis and management are essential to prevent complications, particularly in pregnant individuals 1.References
1 Fernandes I, Rodrigues CIS, Korkes HA, de Sampaio LF. Problem-based learning in obstetrics and gynecology: a systematic review. Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia 2025. link