Recommendations
| Dosage | Remarks | |
|---|---|---|
|
levofloxacin p.o. 500 mg twice daily for 14 days
+ metronidazole p.o. 500 mg twice daily for 14 days |
SWAB remarks For outpatient treatment |
|
|
levofloxacin p.o. 500 mg twice daily for 14 days
+ metronidazole p.o. 500 mg twice daily for 14 days+ ceftriaxone intramuscular 500 mg once |
SWAB remarks For outpatient treatment. Add ceftriaxone if there is a high risk of, or proven, gonorrhoea. |
|
|
levofloxacin p.o. 500 mg twice daily for 14 days
+ metronidazole i.v. 500 mg twice daily for 14 days+ ceftriaxone i.v. 2000 mg once daily |
SWAB remarks For inpatient treatment; i.v. for the first 24 hours if necessary; plus ceftriaxone until gonorrhoea has been excluded. |
| Dosage | Remarks | |
|---|---|---|
|
ceftriaxone i.v. 2000 mg once daily for 14 days
+ azithromycin p.o. 1000 mg single dose+ metronidazole p.o. 500 mg twice daily for 14 days |
In a large tubo-ovarian abscess consider metronidazole 500 mg three times daily instead of twice daily
In case of hypersensitivity and/or contraindication to metronidazole, the following can be prescribed instead: clindamycin 600 mg p.o., three times daily for 14 days.
In case of hypersensitivity and/or contraindication to levofloxacin (fluoroquinolones), the following can be prescribed instead: doxycycline 100 mg p.o., twice daily for 14 days