Pelvic Inflammatory Disease

Pelvic Inflammatory Disease

BASHH

CKS

Refer woman and contacts to Central Sexual health service or ED 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 regimen, or refer to Central Sexual health.

Partners should be tested and treated in all cases of PID.

Metronidazole

400mg BD

14 days

plus ofloxacin

400mg BD

14 days

or doxycycline

100mg BD

14 days

If high risk of gonorrhoea

ADD ceftriaxone

1g IM

 

Stat