A 23-year-old woman diagnosed with pelvic inflammatory disease is treated as an outpatient. She is allergic to metronidazole. According to BASHH, what...

Question

A 23-year-old woman diagnosed with pelvic inflammatory disease is treated as an outpatient. She is allergic to metronidazole. According to BASHH, what alternative outpatient PID regimen can be considered?

Accepted Answer

An alternative regimen without metronidazole can be used: ofloxacin 400 mg BD plus metronidazole is standard, but if metronidazole-allergic, IM ceftriaxone plus oral doxycycline 100 mg BD for 14 days (without metronidazole) can be considered. However, anaerobic cover may be suboptimal

Answer

The standard triple therapy is the only option

Answer

Only IV antibiotics are suitable if allergic to metronidazole

Answer

No treatment is possible

Answer

She must be admitted to hospital

uk-dfsrh MCQ (SBA): PID Treatment Metronidazole Allergy Alternative

A 23-year-old woman diagnosed with pelvic inflammatory disease is treated as an outpatient. She is allergic to metronidazole. According to BASHH, what alternative outpatient PID regimen can be considered?