Mild-moderate, non-hospitalized
- Test and treat, regardless of clinical signs/symptoms, all recent (60 days) sexual contacts.
- PID is not an indication for IUD removal. If IUD removal is planned however, delay removal until at least two doses of antibiotics have been administered.
Usual Pathogens
N. gonorrhoeae
C. trachomatis
Mycoplasmoides genitalium (previously Mycoplasma genitalium)
Polymicrobial:
Enterobacterales
Anaerobes
Streptococcus spp
Haemophilus spp
Gardnerella vaginalis
Rare:
Herpes simplex virus
Trichomonas vaginalis
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Ceftriaxone | 250mg IM | 1 dose |
| + | ||
| Doxycycline | 100mg PO bid | 14 days |
| +/- | ||
| Metronidazole | 500mg PO bid | 14 days |
Ceftriaxone allergy
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Levofloxacin | 500mg PO daily | 14 days |
| +/- | ||
| Metronidazole | 500mg PO bid | 14 days |