Review Article

Treatment of Acute Pelvic Inflammatory Disease

Table 2

Parenteral treatment recommendations for acute pelvic inflammatory diseasea.

Recommended regimen A

 Cefotetan 2 g IV every 12 hours
  Or
 Cefoxitin 2 g IV every 6 hours
  Plus
 Doxycycline 100 mg orally or IV every 12 hours

Recommended regimen B

 Clindamycin 900 mg IV every 8 hours
  Plus
 Gentamicin loading dose IV or IM (2 mg/Kg body weight)
 followed by a maintenance dose (1–5 mg/Kg body weight)
 every 8 hours.
 A single daily dosing (3–5 mg/Kg) can be substituted

Alternative parenteral regimen

 Ampicillin/sulbactam 3 g IV every 6 hours
  Plus
 Doxycycline 100 mg orally or IV every 12 hours

aCDC Sexually Transmitted Diseases Treatment Guidelines 2010 MMWR 2010 : 59 (no.-RR12): [6367].