Azithromycin single dose has been relegated to alternative treatment Metronidazole provides extended coverage for Gonorrhea, and Pelvic Inflammatory Disease - Medscape - Sep 13, 2021 Recommended Regimen
Cefoxitin 2 g IM in a single dose and probenecid 1 g orally administered concurrently in a single dose
Ceftriaxone 250 mg IM in a single dose plus doxycycline 100 mg twice a day for 14 days plus metronidazole 500 mg orally twice a day for 14 days
But left untreated, it can lead to more serious long-term complications
of disease including endometritis, salpingitis, parametritis, oophoritis, tubo-ovarian abscess and/or pelvic peritonitis
Efficacy and safety of azithromycin as monotherapy or combined with metronidazole compared with two standard multidrug regimens for the treatment of acute pelvic inflammatory disease
PID is caused by the spread of sexually transmitted infections from the vagina & cervix
CDC guidelines recommend outpatient treatment of PID with ofloxacin, levofloxacin, ceftriaxone plus doxycycline or cefoxitin and probenecid plus doxycycline; all with optional metronidazole for Compare risks and benefits of common medications used for Pelvic Inflammatory Disease
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