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Bacteremia in Septic Abortion: Complications and Treatment

Anaerobic organisms are the most common organisms recovered in blood cultures from patients presenting with septic abortion. An analysis of complications arising with each species of bacteria indicates a rational approach to antimicrobial therapy. The combination of penicillin and tetracycline is effective against the majority of organisms recovered in blood culture. Since hypotension with oliguria is a feature of infection with gramnegative organisms, kanamycin should be added to cover organisms that are tetracyclineresistant. Gas-gangrene antitoxin should be administered if the features of clostridial septicemia are present. Early curettage remains significant feature of treatment