Template:PID antibiotics

Antibiotics

• No sexual activity for 2 weeks;
• Treat all partners who had sex with patient during previous 60 days prior to symptom onset

Outpatient Antibiotic Options

• Ceftriaxone 500mg IM x1 (1g if over 150kg) x1 + Doxycycline 100mg PO BID x 14 days + Metronidazole 500mg PO BID x 14 days
  • Metronidazole
    • Recommended for empiric treatment of PID by the CDC
    • Recommended empirically by European guidelines
• Cefoxitin 2g IM x1 with Probenecid 1g PO x1 + Doxycycline 100mg PO BID x 14 days + Metronidazole

Inpatient Antibiotic Options

• Recommended: Ceftriaxone 1g IV q24hrs OR Cefoxitin 2g IV q6hrs OR Cefotetan 2g IV q12hrs) + Doxycycline 100mg PO or IV q12hrs + Metronidazole 500mg IV or PO q12hrs OR
• Clindamycin 900mg IV q8hrs + Gentamicin 2mg/kg loading then 1.5mg/kg q8hrs IV OR
• Ampicillin/Sulbactam 3g IV q6hrs + Doxycycline 100mg IV/PO q12hrs