Treatment of Pelvic Inflammatory Disease (PID)
In cases of moderate or severe PID refer to the National Management Guidelines and consider admission to hospital. Be alert to any other cause of abdominal pain, including complications of pregnancy.
For the woman presenting with only mild pelvic pain or tenderness and some risk of sexually transmitted infection, use:
- azithromycin 1 gm stat plus1
- doxycycline 100 mg bd for two weeks1, but review as soon as results are available plus
- metronidazole 400mg bd for 14 days
(If patient is pregnant or breastfeeding, substitute doxycycline with roxithromycin 300mgs daily for 2 weeks [category B1*])1
If there is a history of recent sex with a partner from overseas or any other reason to suspect gonorrhoea, add:
- ceftriaxone 250 mg IMI or IV as single dose1
References:
- State of Victoria : Therapeutic Guidelines Antibiotic. Version 12, 2003.
http://www.tg.com.au
* B1: Drugs which have been taken by only a limited number of pregnant women and women of child bearing age, without an increase in the frequency of malformation or other direct or indirect harmful effects on the human fetus having been observed.