Adult Outpatients: Urogenital Infections: Pelvic Inflammatory Disease

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Doses provided in this table are for patients with normal renal and hepatic function. Click on drug link to go to dosing guidelines.  Some antimicrobials are restricted (ID-R).  Click on link for guidelines on obtaining authorization.

Diagnosis

Common Pathogens

Drug(s) of First Choice

Comments

Pelvic inflammatory diseases (PID)

N.gonorrhoeae

C.trachomatis anaerobes

Gram-negative facultative bacteria streptococci

Ceftriaxone 250 mg IM X 1

PLUS

Doxycycline 100 mg PO BID X 14 days

PLUS

Metronidazole 500 mg PO BID x 14 days if BV is present or cannot be ruled out

Follow-up examination should be performed within 72 hours when PID is treated with these regimens.

 

Fluoroquinolones should not be used due to increasing resistance and treatment failures.