| General PID Considerations
- Regimens should provide coverage of N. gonorrhoeae, C. trachomatis, anaerobes, Gram-negative facultative bacteria, and streptococci. If BV is present, anaerobic coverage must be included.
- Treatment should be instituted as early as possible to prevent long-term sequelae.
Criteria for hospitalization of women with PID include:
- Inability to exclude surgical emergencies (e.g., appendicitis, ectopic pregnancy)
- Severe illness
- Nausea and vomiting
- High fever
- Non-response to oral therapy. This is defined as failure to respond clinically to outpatient antimicrobial therapy within 48-72 hours, or the inability to tolerate an outpatient oral regimen.
Tubo-ovarian abscess and current immunodeficiency (HIV infection with low CD4 count, immunosuppressive therapy) may also be indications for hospitalization.
Page last modified: June 3, 2009
Page last reviewed: June 3, 2009
Division of STD Prevention,
National Center for HIV/AIDS,
Viral Hepatitis, STD, and TB Prevention