Pelvic Inflammatory Disease
Refer woman and contacts to Central Sexual Health Service if severe
Essential to do dual test for N.gonorrhoea and Chlamydia AND cervical culture for gonorrhoea
If gonorrhoea likely (partner has it, sex abroad, severe symptoms), resistance to quinolones is high, use ceftriaxone regime.
Partners should be tested and treated in all cases of PID - refer to Central Sexual Health.
Ofloxacin 400mg PO 12 hourly (consider safety issues) AND Metronidazole 400mg PO 8 hourly
Treatment duration: 14 days
Doxycycline 100mg PO 12 hourly AND Metronidazole 400mg PO 8 hourly
ADD ceftriaxone 1g IM STAT to above regimes
Prior to treating Pelvic Inflammatory Disease always screen for gonococci and/or chlamydia as cause of infection
N.B. Neisseria gonorrhoea will take 48 hours to culture but would be seen on direct microscopy if referred to GUM as priority (for optimum identification)