Module 9 Part 2 Pelvic Inflammatory Disease – Outpatient

Question 1

What is PID and what are its common causes

Answer 1

PID is an infection of the female reproductive organs, usually caused by sexually transmitted organisms like Neisseria gonorrhoeae and Chlamydia trachomatis

Question 2

How can mild to moderate PID be treated on an outpatient basis

Answer 2

First line treatment typically involves Cefixime or Ceftriaxone single dose along with Doxycycline twice daily for 14 days Metronidazole may be added in some cases

Question 3

When should sexual partners of PID patients be treated and for what infections

Answer 3

Partners should be treated empirically regardless of clinical findings if they had sexual contact with the patient during the 60 days before symptom onset for Neisseria gonorrhoeae and Chlamydia trachomatis

Question 4

Why is prompt treatment of PID crucial

Answer 4

It helps prevent complications like ectopic pregnancy and infertility

Question 5

Are there preferred antibiotics for treating PID and whats the alternative if the first line options cant be used

Answer 5

Various antibiotics are effective alternatives include Levofloxacin or Moxifloxacin with or without Metronidazole.

Question 6

Whats an additional reason to consider adding Metronidazole to the PID treatment regimen

Answer 6

Metronidazole can address bacterial vaginosis which is often associated with PID and is more important in cases of severe PID with anaerobic infection risk