Adult Outpatients: Urogenital Infections: Pelvic Inflammatory Disease


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.


Common Pathogens

Drug(s) of First Choice


Pelvic inflammatory diseases (PID)


C.trachomatis anaerobes

Gram-negative facultative bacteria streptococci

Ceftriaxone 250 mg IM X 1


Doxycycline 100 mg PO BID X 14 days


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.