Tubo-Ovarian Abscess / Pelvic Inflammatory Disease with systemic infection/sepsis

Antimicrobial prescribing: NHS Forth Valley
NHS Forth Valley

First Line

Therapy

Ceftriaxone 2g IV 24 hourly AND Doxycycline 100mg PO 12 hourly AND Metronidazole 400mg PO 12 hourly

Notes:

Severe Penicillin Allergy (i.e. anaphylaxis, angioedema, urticaria, respiratory distress)

Therapy

Clindamycin 900mg IV 8 hourly AND Gentamicin IV

Notes:

If high risk of STI pathogen as cause - discuss with consultant microbiologist

Notes

Remember to screen for Gonorrhoea and Chlamydia and testing for Blood-Borne Viruses is recommended.

Review clinical progress every 24 hours.