Pelvic inflammatory disease — MRCGP AKT MCQ

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HardInfectious DiseasesPelvic inflammatory diseaseMRCGP AKT

A pregnant patient has pelvic pain, cervical excitation and fever suggesting pelvic inflammatory disease. What is the safest management?

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Correct answer: D — Urgent pregnancy-compatible specialist treatment

The best answer is “Urgent pregnancy-compatible specialist treatment”. PID in pregnancy carries maternal and fetal risk and needs urgent specialist assessment, usually hospital treatment with a pregnancy-compatible regimen and exclusion of ectopic pregnancy or another surgical cause. Standard outpatient doxycycline-containing regimens are unsuitable. The alternatives can be reasonable in related presentations, but they require a different severity, eligibility criterion, treatment setting or clinical objective from the one described.

Reference: BASHH: Pelvic inflammatory disease guideline: https://www.bashh.org/resources/6/pid_2019/