Pelvic Inflammatory Disease and the Recommended Therapeutic Regimen

PID (Pelvic Inflammatory Disease)
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PID (Pelvic Inflammatory Disease)
Based on the above case the diagnosis is PID, What is an appropriate CDC-recommended therapeutic regimen for this patient?
PID (Pelvic Inflammatory Disease) is inflammation of the upper female genital tract (uterus, fallopian tubes, or ovaries), and PID is mainly due to sexually transmitted organisms. PID includes cervicitis endometritis (uterus), salpingitis, and oophoritis (Huether et al., 2020). Anne is experiencing lower abdominal pain. The two most common causes of PID in women are Chlamydia trachomatis and Neisseria gonorrhoeae (DiPiro et al., 2020). Chlamydia infections are often asymptomatic or minimally symptomatic and, when untreated, cause various complications, including PID (DiPiro et al., 2020). When there is documented cervical infection by N. gonorrhoeae and/or C. trachomatis, the treatment targets eradicating the infection, relieving symptoms, and preventing complications. Thus, antibiotics are administered in a targeted manner.
The treatment of PID is antibiotics directed at different types of bacteria or viruses related to infection. Generally, two or three different antibiotics are used. The efficacy of the treatment is similar if the patient is admitted to the hospital or if she is treated on an outpatient (Schwinghammer et al., 2020). The duration of treatment depends on a case-by-case basis being at least 14 days. It will depend in each specific case on the clinical evolution, the presence of abscesses, and their surgical drainage. Once the patient is stabilized, the possibility of continuing oral treatment will depend on the sensitivity of the microbiological isolates. In general, the recommended duration is 14 days.
The recommended parenteral treatment regimen A is Ceftriaxone 1 g IV every 24 hours + Doxycycline 100 mg orally twice a day for fourteen days or IV every 12 hours + Metronidazole 500 mg orally or IV every 12 hours (CDC, 2021). The other regimen is Cefotetan 2 g IV every 12 hours +Doxycycline 100 mg orally or IV every 12 hours OR Cefoxitin 2 g IV every 6 hours +Doxycycline 100 mg orally or IV every 12 hours (CDC, 2021). Oral Cefoxitin and Doxycycline can be administered with or without Metronidazole 500 mg orally two times a day for fourteen days.
Thus three different antibiotic regimens can be used, and after the improvement of symptoms, intravenous treatment is suspended and oral options maintained until 14 days (CDC, 2021). For cases of outpatient treatment of PID, the chosen antibiotics are quinolones, which are associated with oral or Intramuscular Ceftriaxone plus Doxycycline or Cefoxitin plus Doxycycline or different parenteral third-generation cephalosporin such as Cefotaxime ...