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.
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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