What is the first-line treatment for pelvic inflammatory disease according to many guidelines?
Answer and explanation
Correct answer: C. Ceftriaxone with doxycycline and metronidazole
- Step 1: Pelvic inflammatory disease is polymicrobial.
- Step 2: Broad cover includes Chlamydia, gonorrhoea and anaerobes.
Answer
Ceftriaxone with doxycycline and metronidazole.
Why not the others: 'Oral paracetamol and rest only' does not treat infection; 'Single-dose oral fluconazole' treats candida; 'Oral nitrofurantoin for 7 days' treats urinary infection.
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