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
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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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Consider consultation with Infectious Diseases
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