A 38-year-old woman with suspected pelvic inflammatory disease (PID) is allergic to cephalosporins (anaphylaxis). What is the best outpatient regimen?...

Question

A 38-year-old woman with suspected pelvic inflammatory disease (PID) is allergic to cephalosporins (anaphylaxis). What is the best outpatient regimen?

Accepted Answer

Levofloxacin plus metronidazole for 14 days (if low risk of gonococcal resistance)

Answer

Azithromycin monotherapy

Answer

Doxycycline alone

Answer

No treatment until nucleic acid amplification test (NAAT) returns

Answer

Ceftriaxone desensitization then standard therapy

us-abfm MCQ (SBA): PID in Beta-lactam Allergy

A 38-year-old woman with suspected pelvic inflammatory disease (PID) is allergic to cephalosporins (anaphylaxis). What is the best outpatient regimen?