Pdf is being generated, will be available at /media/pdfs/antimicrobial-guideline-acute-epididymo-orchitis.pdf shortly

Genital Tract Infection

Download / Print Section as PDF


Download / Print Section as PDF

Pelvic Inflammatory Disease (PID)

Pelvic Inflammatory Disease (PID)

General points

Antibiotics

Outpatient Rx:

Ceftriaxone 1g IM or IV single dose + Doxycycline PO 100 mg BD + Metronidazole PO 400mg TDS x 14 days.

Inpatient Rx:

Ceftriaxone 2g once daily IV + Doxycycline 100mg BD PO.

Oral switch Doxycycline 100mg BD PO + Metronidazole PO 400mg TDS x 14 days.

IV Ceftriaxone therapy should be continued until 24 hours after clinical improvement then switched to oral.

Severe / IgE mediated reaction/ anaphylaxis to penicillin:

Clindamycin 900mg TDS IV+ Gentamicin once daily IV. (Please see Gentamicin dosing schedule).

Oral switch: Clindamycin 450mg QDS PO or Doxycycline 100mg BD PO + Metronidazole 400mg BD PO to complete 14 days.

Comments

Duration : 14 days

Note: Ofloxacin and moxifloxacin should be avoided in patients who are at high risk of gonococcal PID because of increasing quinolone resistance .

In pregnancy: IV therapy and specialist consultation is advised.