Patient care and monitoring

The goals of monitoring patients with PID are related to reducing long-term complications. To this end, the primary approach should be prevention and education of at-risk women. Secondary prevention may include screening by conducting a pelvic exam during a routine check-up.

Table 80-4 Treatment Regimens for PID

Parenteral

Cefotetan 2 g IV every 12 hours or cefoxitin 2 g IV every 6 hours and doxy-cycline 100 mg orally or IV every 12 hours

Clindamycin 900 mg IV every 8 hours and gentamicin, loading dose IV or IM (2 mg/kg) followed by maintenance dose (1.5 mg/kg) every 8 hours (a single daily dose may be used)

Levofloxacin 500 mg IV every 24 hours with or without metronidazole 500 mg IV every 8 hours

Ampicillin-sulbactam, 3 g IV every 6 hours and doxycycline 100 mg orally or IV every 12 hours

Ofloxacin 400 mg IV every 12 hours with or without metronidazole 500 mg IV every 8 hours

Oral

Levofloxacin 500 mg orally daily for 14 days with or without metronidazole, 500 mg orally twice daily for 14 days

Ceftriaxone 250 mg IM single dose and probenecid 1 g single dose, plus doxycycline 100 mg orally twice daily for 14 days with or without metronidazole, 500 mg orally twice daily for 14 days

Cefoxitin 2 g IM single dose and probenecid 1 g single dose, plus doxycycline 100 mg orally twice daily for 14 days with or without metronidazole, 500 mg orally twice daily for 14 days

Third-generation cephalosporin plus doxycycline 100 mg orally twice daily for 14 days with or without metronidazole, 500 mg orally twice daily for 14 days

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