Pelvic infection

Duration

Total IV/PO 14 days

Hospital treatment

Ceftriaxone IV 2G Daily + Doxycycline 100mg 12 hourly + Azithromycin PO 1G STAT

Followed by Doxycycline po 100mg 12 hourly + Metronidazole po 400mg 12 hourly

Carry out routine STI testing. Refer sexual partners to sexual health.

Out- patient treatment

Ofloxacin po 400mg 12 hourly + Metronidazole 400mg 12 hourly

Carry out routine STI testing. Refer sexual partners to sexual health.

Ofloxacin should be avoided in patients who are at high risk of gonorrhea PID because of increasing quinolone resistance in the uk (when the patient’s partner has GC, in clinically severe disease,following sexual contact abroad)The alternative regimen here is:

Ceftriaxone IM 500mg followed by Doxycycline PO 100mg 12 hourly + Metronidazole PO 400mg 12 hourly + PO Azithromycin 1g STAT

Pelvic infection in pregnancy

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