- Blood cultures (10mls in each bottle)
- Vaginal swab for combined Chlamydia/Gonorrhoea NAAT
- High vaginal swab
Pelvic inflammatory disease in pregnancy
For treatment of non-pregnant patients see here.
- PID in pregnancy is rare; review diagnosis to ensure correct.
- In all cases, obtain a sexual history.
- Discuss all cases with genitourinary medicine consultant.
Recommended Antibiotic |
Ceftriaxone 2g IV once daily AND Erythromycin 500mg every 6 hours orally for 14 days AND IF SEVERE Metronidazole 400mg every 8 hours orally for 14 days |
In penicillin anaphylaxis or cephalosporin allergy seek advice from obstetrics and GUM |
Likely organisms:C. trachomatis,N. gonorrhoeae,M. genitalium,anaerobes