

An Exploring Pharmacological Interventions for Endometritis: A Comprehensive Overview
Abstract
Endometritis is a medical condition manifested by inflammation of the endometrium, the inner lining of the uterus. This inflammatory condition can lead to many factors such as bacterial infections following childbirth, miscarriage or certain medical procedures. Generally used antibiotics for endometritis include ceftriaxone, clindamycin and doxycycline Cepalospoin and ceftriaxone is very effective against broad spectrum of bacteria. It stops the bacterial cell wall synthesis and decrease the bacterial growth. Clindamycin is effective especially against anaerobic bacteria and a very few gram-positive cocci. It stops bacterial proton synthesis and disrupts the growth of infections agents. Non steroidal anti_ inflammatory drugs (NSAIDs) are generally used to decrease pain and decrease inflammation also associated with endonetritis. A very few drugs namely ibuprofen and diclofenac perform. By preventing enzymes essential for prostaglandin synthesis, thereby decreases pain as well as inflammation. Finally, it is concluded that the management of endometritis involves a multi-dimensional approach, often combining antibiotics, anti inflammatory drugs, hormonal therapy and immuno_ modulators.
References
Gonzalo-Carballes, M., Ríos-Vives, M. Á., Fierro, E. C., Azogue, X. G., Herrero, S. G., Rodríguez, A. E., Rus, M. N., Planes-Conangla, M., Escudero-Fernandez, J. M., & Coscojuela, P. (2020). A pictorial review of postpartum complications. Radiographics, 40(7), 2117-2141.
Soper, D. E., & Wiesenfeld, H. C. (2021). The continued challenges in the diagnosis of acute pelvic inflammatory disease: Focus on clinically mild disease. The Journal of Infectious Diseases, 224(12 Suppl 2), S75-S79.
Ravel, J., Moreno, I., & Simón, C. (2021). Bacterial vaginosis and its association with infertility, endometritis, and pelvic inflammatory disease. American Journal of Obstetrics and Gynecology, 224(3), 251-257.
Mackeen, A. D., Packard, R. E., Ota, E., & Speer, L. (2015). Antibiotic regimens for postpartum endometritis. Cochrane Database of Systematic Reviews, 2015(2), CD001067.
Kitaya, K., Takeuchi, T., Mizuta, S., Matsubayashi, H., & Ishikawa, T. (2018). Endometritis: New time, new concepts. Fertility and Sterility, 110(3), 344-350.
Gradison, M. (2012). Pelvic inflammatory disease. American Family Physician, 85(8), 791-796.
Pirtea, P., Cicinelli, E., De Nola, R., de Ziegler, D., & Ayoubi, J. M. (2021). Endometrial causes of recurrent pregnancy losses: Endometriosis, adenomyosis, and chronic endometritis. Fertility and Sterility, 115(3), 546-560.
Cicinelli, E., Vitagliano, A., Kumar, A., Lasmar, R. B., Bettocchi, S., Haimovich, S., & International Working Group for Standardization of Chronic Endometritis Diagnosis. (2019). Unified diagnostic criteria for chronic endometritis at fluid hysteroscopy: Proposal and reliability evaluation through an international randomized-controlled observer study. Fertility and Sterility, 112(1), 162-173.e2.
Ross, J., Guaschino, S., Cusini, M., & Jensen, J. (2018). 2017 European guideline for the management of pelvic inflammatory disease. International Journal of STD & AIDS, 29(2), 108-114.
Song, D., Feng, X., Zhang, Q., Xia, E., Xiao, Y., Xie, W., & Li, T. C. (2018). Prevalence and confounders of chronic endometritis in premenopausal women with abnormal bleeding or reproductive failure. Reproductive BioMedicine Online, 36(1), 78-83.
Cicinelli, E., Matteo, M., Trojano, G., Mitola, P. C., Tinelli, R., Vitagliano, A., Crupano, F. M., Lepera, A., Miragliotta, G., & Resta, L. (2018). Chronic endometritis in patients with unexplained infertility: Prevalence and effects of antibiotic treatment on spontaneous conception. American Journal of Reproductive Immunology, 79(1).
Committee on Practice Bulletins—Obstetrics. (2017). Committee opinion no. 712: Intrapartum management of intraamniotic infection. Obstetrics & Gynecology, 130(2), e95-e101.
Smaill, F. M., & Grivell, R. M. (2014). Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section. Cochrane Database of Systematic Reviews, 2014(10), CD007482.
Meaney-Delman, D., Bartlett, L. A., Gravett, M. G., & Jamieson, D. J. (2015). Oral and intramuscular treatment options for early postpartum endometritis in low-resource settings: A systematic review. Obstetrics & Gynecology, 125(4), 789-800.
Dalton, E., & Castillo, E. (2014). Postpartum infections: A review for the non-OBGYN. Obstetric Medicine, 7(3), 98-102.
Donders, G., Greenhouse, P., Donders, F., Engel, U., Paavonen, J., & Mendling, W. (2021). Genital tract GAS infection ISIDOG guidelines. Journal of Clinical Medicine, 10(9).
Prevention of group B streptococcal early-onset disease in newborns: ACOG Committee Opinion, number 782. (2019). Obstetrics & Gynecology, 134(1), 1.
Haggerty, C. L., & Ness, R. B. (2008). Diagnosis and treatment of pelvic inflammatory disease. Womens Health (Lond), 4(4), 383-397.
Kreisel, K. M., Llata, E., Haderxhanaj, L., Pearson, W. S., Tao, G., Wiesenfeld, H. C., & Torrone, E. A. (2021). The burden of and trends in pelvic inflammatory disease in the United States, 2006-2016. The Journal of Infectious Diseases, 224(12 Suppl 2), S103-S112.
Chaim, W., Bashiri, A., Bar-David, J., Shoham-Vardi, I., & Mazor, M. (2000). Prevalence and clinical significance of postpartum endometritis and wound infection. Infectious Diseases in Obstetrics and Gynecology, 8(2), 77-82.
Boggess, K. A., Tita, A., Jauk, V., Saade, G., Longo, S., Clark, E. A. S., Esplin, S., Cleary, K., Wapner, R., Letson, K., Owens, M., Blackwell, S., Beamon, C., Szychowski, J. M., & Andrews, W. (2017). Risk factors for postcesarean maternal infection in a trial of extended-spectrum antibiotic prophylaxis. Obstetrics & Gynecology, 129(3), 481-485.
Karsnitz, D. B. (2013). Puerperal infections of the genital tract: A clinical review. Journal of Midwifery & Women’s Health, 58(6), 632-642.
Kitaya, K., & Ishikawa, T. (2021). Chronic endometritis: Simple can be harder than complex? Fertility and Sterility, 115(6), 1443-1444.
Soper, D. E. (2010). Pelvic inflammatory disease. Obstetrics & Gynecology, 116(2 Pt 1), 419-428.
Shields, A., de Assis, V., & Halscott, T. (2021). Top 10 pearls for the recognition, evaluation, and management of maternal sepsis. Obstetrics & Gynecology, 138(2), 289-304.
Curry, A., Williams, T., & Penny, M. L. (2019). Pelvic inflammatory disease: Diagnosis, management, and prevention. American Family Physician, 100(6), 357-364.
Conde-Agudelo, A., Romero, R., Jung, E. J., & Garcia Sánchez, Á. J. (2020). Management of clinical chorioamnionitis: An evidence-based approach. American Journal of Obstetrics and Gynecology, 223(6), 848-869.
Hazra, A., Collison, M. W., & Davis, A. M. (2022). CDC sexually transmitted infections treatment guidelines, 2021. JAMA, 327(9), 870-871.
Dalby, J., & Stoner, B. P. (2022). Sexually transmitted infections: Updates from the 2021 CDC guidelines. American Family Physician, 105(5), 514-520.
DeNoble, A. E., Kuller, J. A., Heine, R. P., & Dotters-Katz, S. (2018). Antibiotics for the prevention and treatment of postsurgical obstetric infections. Obstetrical & Gynecological Survey, 73(8), 475-485.
Committee on Practice Bulletins—Gynecology. (2012). Practice bulletin no. 128: Diagnosis of abnormal uterine bleeding in reproductive-aged women. Obstetrics & Gynecology, 120(1), 197-206.
American College of Obstetricians and Gynecologists. (2019). Infertility workup for the women's health specialist: ACOG Committee Opinion, Number 781. Obstetrics & Gynecology, 133(6), e377-e384.
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