What antibiotics are used for pelvic inflammatory disease

Pelvic inflammatory disease is an inflammation of the female pelvic reproductive organs, the connective tissue around the uterus, or the pelvic peritoneum. In real life, the female reproductive system has sufficient defense function to resist bacterial invasion. Only when the female body's resistance decreases or the female's natural defense function is destroyed due to other reasons will pelvic inflammatory disease occur.

Pelvic inflammatory disease is best treated with antibiotics, but severe cases may require surgery. Antibiotic treatment can eliminate pathogens, improve symptoms and signs, and reduce sequelae. Most pelvic inflammatory disease can be cured with active treatment with appropriate antibiotics. Principles of antibiotic treatment: empirical, broad-spectrum, timely and individualized.

Common antibiotic regimens used for treatment include:

① Take ofloxacin 400 mg orally, twice a day, or levofloxacin 500 mg orally, once a day, and take metronidazole 400 mg 2-3 times a day at the same time, for 14 consecutive days.

② Ceftriaxone sodium 250 mg, single intramuscular injection, or ceftriaxone sodium, single intramuscular injection, and oral probenecid at the same time, then switch to doxycycline 100 mg, twice a day for 14 consecutive days, and take metronidazole 400 mg orally twice a day for 14 consecutive days; or choose other third-generation cephalosporins in combination with doxycycline and metronidazole.

The route of administration for antibiotic treatment is intravenous drip, which has a quick effect. The commonly used combination is: ceftriaxone sodium (or cefotetan disodium) + doxycycline. For patients with tubo-ovarian abscess, clindamycin or metronidazole can be added to more effectively fight anaerobic bacteria; clindamycin + gentamicin; ofloxacin (or levofloxacin) + metronidazole; ampicillin/sulbactam + doxycycline.

In addition, during the treatment of pelvic inflammatory disease, patients should maintain a good mood, combine work and rest, and strengthen nutrition, which will help the treatment of pelvic inflammatory disease.