Posts tagged: Men’s health

PELVIC INFLAMMATORY DISEASE – ORAL REGIMENS (NON-PREGNANT PATIENTS)

Tetracycline in standard dose (e.g. doxycycline 200 mg to commence and then 100 mg twice daily) for at least 10 days

and, if penicillin sensitive N gonorrohoea is expected Amoxycillin 500 mg 3 times daily for at least 10 days or if ppng is suspected or in areas where ppng is highly endemyc

Ceftriaxone 250 mg intramuscularly in a single dose OR

Spectinomycin 4 g intramuscularly in a single dose (divided between 2 gluteal sites)

and, if anaerobic infection is suspected, metronidazole 400 mg three times daily for a total treatment period of at least 10 days.
Pregnant patients
Erythromycin 0.5 to lg intravenously every 6 or 8 hours until able to tolerate oral erythromycin 500 mg 4 times daily for a total treatment period of at least 10 days.
Clindamycin may also be used in pregnant patients particularly if M hominis, anaerobic or gram positive coccal infection is suspected.
Patients with gonococcal PID usually respond well to appropriate therapy and have a better prognosis than those with chlamydial or anaerobic infections.
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PELVIC INFLAMMATORY DISEASE – 2

Rolitetracycline (Reverin) 275 mg intravenously twice daily until able to

tolerate oral tetracycline (such as doxycycline 100 mg twice daily) for a total treatment period of 2 to 4 weeks

AND, IF PENICILLIN SENSITIVE N GONORRHOEA IS EXPECTED, Amoxycillin sodium 1 g intravenously every 6 hours until able to tolerate

oral amoxycillin 500 mg 3 times daily for a total treatment period of at least 10 days OR IF PPNG IS SUSPECTED OR IN AREAS WHERE PPNG IS HIGHLY ENDEMIC,

Ceftriaxone (Rocephin) 1 g intravenously daily for 7 days OR

Spectinomycin (Trobicin) 4 g intramuscularly in a single dose (divided between 2 gluteal sites)

AND, IF ANAEROBIC INFECTION IS SUSPECTED, metronidazole 500 mg intravenously (or 1 g by rectal suppository) three

times daily until able to tolerate oral metronidazole 400 mg three times daily for a total treatment period of at least 10 days.

Cefoxitin (Mefoxin) 2 g intravenously 6 hourly can be substituted for ceftriaxone and metronidazole since cefoxitin is active against PPNG and anaerobes.
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