Antibiotics in Gynaecology

Question 1

Pelvic Inflammatory Disease outpatient Tx

Answer 1

ceftriaxone and doxycycline

Question 2

Pelvic Inflammatory Disease inpatient treatment

Answer 2

cefoxitin or cefotetan plus doxycycline.

.- penicillin allergic patients, treat with gentamicin and clindamycin

Question 3

Tubo-Ovarian Abscess (TOA) Tx

Answer 3

IV antibiotics: cefoxitin and doxycycline (or in penicillin-allergic patients: clindamycin and gentamicin).

if >9cm or non-improvement in 48h with ATB alone: percutaneous drainage