Pelvic Inflammatory Disease

Micro-organism

BASHH

Duration

Refer woman and contacts to Central Sexual Health Service if severe

Essential to do dual test for N.gonorrhoea and Chlamydia AND cervical culture for gonorrhoea

If gonorrhoea likely (partner has it, sex abroad, severe symptoms), resistance to quinolones is high, use ceftriaxone regime.

 

Partners should be tested and treated in all cases of PID - refer to Central Sexual Health.

First Line

Ofloxacin 400mg bd oral AND Metronidazole 400mg bd oral for 14 days

Alternative

Doxycycline 100mg bd oral AND Metronidazole 400mg bd oral.

If IV treatment necessary contact microbiology

If high risk of gonorrhoea

ADD ceftriaxone 1g IM stat

Notes

Prior to treating Pelvic Inflammatory Disease always screen for gonococci and/or chlamydia as cause of infection

N.B. Neisseria gonorrhoea will take 48 hours to culture but would be seen on direct microscopy if referred to GUM as priority (for optimum identification)