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Infection

Pelvic Inflammatory disease Possible therapeutic alternatives
Pelvic inflammatory disease:

*Fluoroquinolones should only be used if community prevalence and risk of gonococcal infection is low (e.g less than 5%)

Common pathogens
Mild cases (Outpatient therapy): 
Ceftriaxone 250mg IM x 1  PLUS
Doxycycline 100mg orally twice daily for 14 days  +/- Metronidazole 500mg orally twice or three times daily
Ceftriaxone 250mg IM x 1  PLUS
Azithromycin 1 gram orally once weekly x 2 weeks.
*Ofloxacin 400mg orally twice daily for 14 days plus Metronidazole 500mg orally twice or three times daily for 14 days. 
Hospitalized (moderate/severe):  
Cefotetan 2 grams IV q12h or Cefoxitin 2 grams IV every 6 hours  + Doxycycline 100mg orally or IV q12h   or
Clindamycin 600-900mg IV every 8 hours + gentamicin IV  + Doxycycline 100mg orally twice daily for 14 days
Ampicillin-sulbactam 3 grams IV q6h + Doxycycline 100mg q12h

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Pelvic inflammatory disease (PID)