Treatment of PID usually involves administration of more than one antibiotic. Cefoxitin (Mefoxin) and doxycycline (Vibramycin) antibiotics are typically used in combination to provide broad spectrum coverage against the offending organisms.
The patient should be instructed to abstain from sexual intercourse for three weeks.
The patient should be placed in a semi-Fowler’s position to facilitate drainage of the infection. This intervention may help relieve pain in addition to preventing abscess formation in the abdomen.
Analgesic medication can be given to help with pain. Applying heat to the lower abdomen may also help to relieve pain associated with PID.
Patients should be taught to check their temperature twice a day and to immediately contact their healthcare provider if there is an increase in temperature.
The patient’s sexual partners should be treated for gonorrhea and chlamydia infections, whether or not they are experiencing clinical symptoms. This is because Chlamydia trachomatis and Neisseria gonorrhoeae are the most common causative organisms for PID.
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