Pelvic Inflammatory Disease

Pelvic Inflammatory Disease

BASHH

CKS

Refer woman and contacts to GUM service.

Always culture for gonorrhoea and chlamydia.

If gonorrhoea likely (partner has it, sex abroad, severe symptoms), resistance to quinolones is high, use ceftriaxone regimen, or refer to GUM

Metronidazole PLUS

 

400mg BD

 

14 days

 

ofloxacin

 

400mg BD

 

14 days

or doxycycline

 

100mg BD

14 days

If high risk of gonorrhoea

ADD ceftriaxone

500mg IM

Stat