Pelvic Inflammatory Disease (PID)
Refer woman and contacts to Sexual health Service.
Always culture for gonorrhoea and chlamydia.
Cefotaxime 500mg IM as a single dose, or cefixime 400mg oral followed by 200mg 6-12 hours later, should be added if gonorrhoea strongly suspected or confirmed. (Cefixime dosing based on expert advice due to risk of resistance.)
Metronidazole added to cover anaerobes particularly for severe PID, can be omitted in mild to moderate PID, or if not tolerated.
Consider testing for HIV.
100mg twice daily
400mg twice daily