Recommandations
Moderate to Severe PID

Moderate to Severe PID

Treatment Notes

Hospitalized, IV therapy indicated

Duration of therapy 14 days

Step down to oral therapy WITH DOXYCYCLINE +/- metronidazole after 24-48 hours if clinical improvement to complete 14 days of therapy

Metronidazole should be used to complete 14 days of therapy if tubo-ovarian abscess is present for more effective anaerobic coverage

First Line

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IV doxycycline is not marketed in Canada. Oral treatment is recommended given oral and IV formulations provide similar bioavailability.

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