Septic pelvic vein thrombophlebitis

(postpartum, post pelvic surgery, post abortion)


- Check for pulmonary emboli.

- Heparin therapy recommended along with antibiotics.

- Ertapenem has not been studied in this clinical setting but has appropriate coverage of organisms involved.

Usual Pathogens

Viridans Group Streptococci
ß-haemolytic Streptococci


Empiric Therapy Dose Duration
Piperacillin-tazobactam 3.375g IV q6h 4-6 weeks

Penicillin allergy

Empiric Therapy Dose Duration
Ceftriaxone 2g IV daily 4-6 weeks
Metronidazole IV/PO 500mg IV/PO q12h