title: Carbapenem Resistant Organisms: An Unusual Aetiology for Puerperal Sepsis.
abstract: Puerperal infection is a common complication of labour. It occurs universally and is usually responsive to first line antibiotics. However, resistance to first line antibiotics and even second line antibiotics is becoming more wide spread. We report a case of puerperal infection caused by carbapenem resistant organisms leading to prolonged fever and hospitalisation. A 28-year-old primigravida, following caesarean section done elsewhere, for elevated blood pressure presented with high grade fever. The patient was treated with antibiotic to which she failed to respond. She underwent laparotomy twice and only improved after Colistin was combined with Meropenam, based on urine and pus culture reports.
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India .
authors.forename: Vaibhav
authors.initials: V
authors.lastname: Londhe
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India .
authors.forename: Reeta
authors.initials: R
authors.lastname: Vijayaselvi
authors.affiliation: Professor, Department of Microbiology, Christian Medical College , Vellore, Tamil Nadu, India .
authors.forename: V
authors.initials: V
authors.lastname: Balaji
authors.affiliation: Associate Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India .
authors.forename: Santosh J
authors.initials: SJ
authors.lastname: Benjamin
authors.affiliation: Associate Professor, Department of Microbiology, Christian Medical College , Vellore, Tamil Nadu, India .
authors.forename: Rani Diana
authors.initials: RD
authors.lastname: Sahni
keywords: Drug resistance; Fever; Laparotomy; Puerperal infection