PID

Question 1

In patient antibiotics

Answer 1

azithromycin 500mg IV OD
ceftriaxone 1g IV OD
metronidazole 500mg IV BD (12hrly)
after stable --> continue IVs for 24hrs
swab to PO doxycycline 100mg 14/7

Question 2

Out patient antibiotics

Answer 2

azithromycin 1g PO
ceftriaxone 500mg IM
metronidazole 400mg BD 14/7
Doxycycline 100mg BD 7/7

Question 3

Followup with GP

Answer 3

1) Lifestyle modification - risk taking behaviour - namely important to practice safe sex. GP will discuss contraception options available to you (hormonal or non-hormonal) and always should use barrier protection (prevent STI - esp with new sex partners).
2) Complications of PID - More PID, Ectopics, Infertility, Chronic pelvic pain
3) R/V blood results - Hep b, c hiv syphillis
4) contact tracing - sexual partners.

Question 4

Metronidazole
Doxycycline
Azithromycin - macrolide (erythro)

Answer 4

Disulphiram like with alcohol
Avoid sunlight. Uv light sensitivity
Abnormal bone and teeth development of Affected fetus

Question 5

Triples

Answer 5

Ampicillin
Gent
Metro

Question 6

STI infection - cervicitis

Answer 6

• d/c
• cervix inflammation
• no uterine, adnexal tenderness, slight cervical tenderness.
  Antibios:
  azithromycin 1g PO chlamydia
  cephrtriaxone 500mg IM gono
  doxy 100mg PO BD 14/7 (if preg don’t give doxy
• do HVS
• trichomonas - metronidazole 400mg bd 7/7
• bacterial vagino - “
• candidiasis - clotrimazole 1,3,or7 days.
  fluconazole - PO one dose (NOT PREG)