Pelvic Inflammatory Disease (PID)

Infection

Pelvic Inflammatory disease

Possible therapeutic alternatives

Pelvic inflammatory disease:

*Fluoroquinolones should only be used if community prevalence and risk of gonococcal infection is low (e.g less than 5%)

Mild cases (Outpatient therapy):

Ceftriaxone 250mg IM x 1 PLUS
Doxycycline 100mg orally twice daily for 14 days +/- Metronidazole 500mg orally twice or three times daily

Ceftriaxone 250mg IM x 1 PLUS
Azithromycin 1 gram orally once weekly x 2 weeks.

*Ofloxacin 400mg orally twice daily for 14 days plus Metronidazole 500mg orally twice or three times daily for 14 days.

Hospitalized (moderate/severe):

Cefotetan 2 grams IV q12h or Cefoxitin 2 grams IV every 6 hours + Doxycycline 100mg orally or IV q12h or

Clindamycin 600-900mg IV every 8 hours + gentamicin IV + Doxycycline 100mg orally twice daily for 14 days