Pelvic Inflammatory Disease

Refer woman and contacts to Central Sexual health service or ED if severe.
Essential to do dual test for N. gonorrhoea and Chlamydia AND cervical culture for gonorrhoea
If gonorrhoea likely (partner has it, sex abroad, severe symptoms), resistance to quinolones is high, use ceftriaxone regimen, or refer to Central Sexual health.
Partners should be tested and treated in all cases of PID.
Drug details
Metronidazole
400mg BD
14 days
plus ofloxacin
400mg BD
14 days
or doxycycline
100mg BD
14 days
If high risk of gonorrhoea
ADD ceftriaxone
1g IM
Stat