Postoperative gynecologic infections

Postoperative gynecologic infections are caused by mixed aerobic and anaerobic bacteria that normally reside in the vagina. For the most part the infection, manifested by fever, resolves spontaneously, but occasionally serious problems result. Opinion now favours the prophylactic use of antibiotics before both abdominal and vaginal hysterectomy. Established infections are first treated with a combination of clindamycin and gentamicin.