Regimens for Treatment of Pelvic Inflammatory Disease*
Treatment | Recommended Regimens | Alternative Regimens |
|---|---|---|
Parenteral† | Regimen A: PLUS PLUS Regimen B: OR PLUS | Regimen C: PLUS Regimen D: PLUS |
Oral or IM† | Regimen A: PLUS WITH Regimen B: PLUS WITH Regimen C: PLUS WITH | Regimen D§: OR WITH Regimen E: WITH OR WITHOUT |
* Recommendations are from the Centers for Disease Control and Prevention. Workowski KA, Bachmann LH, Chan PA, et al: Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep 70(4):1-187, 2021 doi:10.15585/mmwr.rr7004a1 | ||
† Intramuscular or oral therapy can be considered for mild to moderate acute PID because the clinical outcomes with intramuscular/oral and parenteral therapy are similar. If patients do not respond to oral therapy within 72 hours, they should be reevaluated to confirm the diagnosis, and intravenous therapy should be given. | ||
§ This regimen may be considered if the patient has a cephalosporin allergy, if community prevalence and individual risk of gonorrhea are low, and if follow-up is likely. Tests for gonorrhea must be done before therapy is started, and the following management is recommended:
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