Question

A 28-year-old woman presents with pelvic pain, cervical motion tenderness, and mucopurulent discharge. She is diagnosed with pelvic inflammatory disease (PID) and can be treated outpatient. What is the best initial regimen?

Accepted Answer

Fluoroquinolone monotherapy

Answer

Ceftriaxone 500 mg IM once + doxycycline 100 mg PO BID x 14 days + metronidazole 500 mg PO BID x 14 days

Answer

Ceftriaxone 250 mg IM once + azithromycin 1 g PO once

Answer

Doxycycline 100 mg PO BID x 7 days

Answer

Metronidazole 2 g PO once

Practice question

A 28-year-old woman presents with pelvic pain, cervical motion tenderness, and mucopurulent discharge. She is diagnosed with pelvic inflammatory disease (PID) and can be treated outpatient. What is the best initial regimen?