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

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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