{"id":250,"date":"2014-01-20T00:00:00","date_gmt":"2014-01-20T00:00:00","guid":{"rendered":"https:\/\/drpolyzos.gr\/?p=250"},"modified":"2026-01-31T13:11:29","modified_gmt":"2026-01-31T13:11:29","slug":"flegmonodis-pyeliki-astheneia","status":"publish","type":"post","link":"https:\/\/drpolyzos.gr\/en\/flegmonodis-pyeliki-astheneia\/","title":{"rendered":"Pelvic Inflammatory Disease (PID)"},"content":{"rendered":"<p>These regimens have been proposed by the Bromley hospitals following discussions between the Departments of Obstetrics &amp; Gynaecology, Genitourinary Medicine, Microbiology, and the Pharmacy Department.<\/p>\n<p>Note: If intravenous therapy is required, it should replace the oral regimen for the first 48 hours, and the remainder of the course should then be completed with the oral treatment.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">table of contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/drpolyzos.gr\/en\/flegmonodis-pyeliki-astheneia\/#%CE%91%CE%B9%CF%8E%CF%81%CE%B7%CE%BC%CE%B1_1_%E2%80%93_%CE%A0%CF%81%CF%8E%CF%84%CE%B7%CF%82_%CE%B3%CF%81%CE%B1%CE%BC%CE%BC%CE%AE%CF%82\" >Regimen 1 \u2013 First-line<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/drpolyzos.gr\/en\/flegmonodis-pyeliki-astheneia\/#%CE%91%CE%B9%CF%8E%CF%81%CE%B7%CE%BC%CE%B1_2_%E2%80%93_%CE%95%CE%BD%CE%B1%CE%BB%CE%BB%CE%B1%CE%BA%CF%84%CE%B9%CE%BA%CF%8C_%CE%B1%CE%B9%CF%8E%CF%81%CE%B7%CE%BC%CE%B1-_%CF%87%CF%81%CE%AE%CF%83%CE%B9%CE%BC%CE%BF_%CE%B5%CE%AC%CE%BD_%CF%84%CE%BF_%CE%91%CE%B9%CF%8E%CF%81%CE%B7%CE%BC%CE%B1_1_%CE%B4%CE%B5%CE%BD_%CE%B5%CE%AF%CE%BD%CE%B1%CE%B9_%CF%85%CF%80%CE%BF%CF%86%CE%B5%CF%81%CF%84%CF%8C\" >Regimen 2 \u2013 Alternative regimen (useful if Regimen 1 is not tolerated)<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%CE%91%CE%B9%CF%8E%CF%81%CE%B7%CE%BC%CE%B1_1_%E2%80%93_%CE%A0%CF%81%CF%8E%CF%84%CE%B7%CF%82_%CE%B3%CF%81%CE%B1%CE%BC%CE%BC%CE%AE%CF%82\"><\/span>Regimen 1 \u2013 First-line<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>Intravenous<\/strong><\/p>\n<ul>\n<li>Cefuroxime 750 mg IV tds for 48 hours<\/li>\n<li>Metronidazole 1 g PR tds for 48 hours<\/li>\n<li>and start Doxycycline 100 mg orally<\/li>\n<\/ul>\n<p><strong>Oral<\/strong><\/p>\n<ul>\n<li>Cefadroxil 500 mg PO bd for 7 days<\/li>\n<li>Metronidazole 400 mg PO bd for 7 days<\/li>\n<li>Doxycycline 100 mg bd for a total of 14 days<\/li>\n<\/ul>\n<p><strong>Note:<\/strong>\u00a0Patients with suspected chlamydia-related pelvic inflammatory disease should start doxycycline immediately. If chlamydia is subsequently confirmed, and unless sensitivity testing indicates otherwise, the cephalosporin will not be necessary. For more severe cases, and in cases where the diagnosis is less certain, the use of the triple regimen provides broader coverage and should be given until microbiology results are available.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%CE%91%CE%B9%CF%8E%CF%81%CE%B7%CE%BC%CE%B1_2_%E2%80%93_%CE%95%CE%BD%CE%B1%CE%BB%CE%BB%CE%B1%CE%BA%CF%84%CE%B9%CE%BA%CF%8C_%CE%B1%CE%B9%CF%8E%CF%81%CE%B7%CE%BC%CE%B1-_%CF%87%CF%81%CE%AE%CF%83%CE%B9%CE%BC%CE%BF_%CE%B5%CE%AC%CE%BD_%CF%84%CE%BF_%CE%91%CE%B9%CF%8E%CF%81%CE%B7%CE%BC%CE%B1_1_%CE%B4%CE%B5%CE%BD_%CE%B5%CE%AF%CE%BD%CE%B1%CE%B9_%CF%85%CF%80%CE%BF%CF%86%CE%B5%CF%81%CF%84%CF%8C\"><\/span>Regimen 2 \u2013 Alternative regimen (useful if Regimen 1 is not tolerated)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>Intravenous<\/strong><\/p>\n<ul>\n<li>Co-amoxiclav 1.2 g IV tds for 48 hours<\/li>\n<li>and start Doxycycline 100 mg orally bd<\/li>\n<\/ul>\n<p><strong>Oral<\/strong><\/p>\n<ul>\n<li>Co-amoxiclav 250\/125 orally, 2 tablets for 7 days<\/li>\n<li>Doxycycline 100 mg orally bd for a total of 14 days<\/li>\n<\/ul>\n<p><strong>Note:<\/strong>\u00a0The optimal dose and duration of co-amoxiclav (Augmentin) in pelvic inflammatory disease have not been clearly established. Oral regimens reported in the literature vary from 375 mg to 1.2 g taken 3\u20134 times per day.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u0391\u03c5\u03c4\u03ac \u03c4\u03b1 \u03b1\u03b9\u03c9\u03c1\u03ae\u03bc\u03b1\u03c4\u03b1 \u03ad\u03c7\u03bf\u03c5\u03bd \u03c0\u03c1\u03bf\u03c4\u03b1\u03b8\u03b5\u03af \u03b1\u03c0\u03cc \u03c4\u03b1 \u03bd\u03bf\u03c3\u03bf\u03ba\u03bf\u03bc\u03b5\u03af\u03b1 \u03c4\u03bf\u03c5 Bromley, \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c3\u03c5\u03b6\u03b7\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03c9\u03bd \u03c4\u03bc\u03b7\u03bc\u03ac\u03c4\u03c9\u03bd \u039c\u03b1\u03b9\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 &amp; \u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03bf\u03b3\u03af\u03b1\u03c2, \u039f\u03c5\u03c1\u03bf\u03b3\u03b5\u03bd\u03bd\u03b7\u03c4\u03b9\u03ba\u03ae\u03c2 \u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2, \u039c\u03b9\u03ba\u03c1\u03bf\u03b2\u03b9\u03bf\u03bb\u03bf\u03b3\u03af\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03bf\u03c5 \u03c4\u03bc\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2 \u03a6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2. \u03a3\u03b7\u03bc\u03b5\u03af\u03c9\u03c3\u03b7:\u00a0\u0395\u03ac\u03bd \u03c7\u03c1\u03b5\u03b9\u03ac\u03b6\u03b5\u03c4\u03b1\u03b9 \u03b5\u03bd\u03b4\u03bf\u03c6\u03bb\u03ad\u03b2\u03b9\u03b1 \u03b1\u03b3\u03c9\u03b3\u03ae, \u03b1\u03c5\u03c4\u03ae \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03b1\u03bd\u03c4\u03b9\u03ba\u03b1\u03c4\u03b1\u03c3\u03c4\u03ae\u03c3\u03b5\u03b9 \u03c4\u03b7\u03bd \u03c3\u03c4\u03bf\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae \u03b3\u03b9\u03b1 \u03c4\u03b9\u03c2 \u03c0\u03c1\u03ce\u03c4\u03b5\u03c2 48 \u03ce\u03c1\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03c5\u03c0\u03cc\u03bb\u03bf\u03b9\u03c0\u03bf \u03c4\u03b7\u03c2 \u03b1\u03b3\u03c9\u03b3\u03ae\u03c2 \u03b8\u03b1 \u03c0\u03c1\u03ad\u03c0\u03b5\u03b9 \u03bd\u03b1 \u03bf\u03bb\u03bf\u03ba\u03bb\u03b7\u03c1\u03c9\u03b8\u03b5\u03af \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c3\u03c4\u03bf\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[7,10],"tags":[],"class_list":["post-250","post","type-post","status-publish","format-standard","hentry","category-blog","category-pathiseis-technikes"],"acf":[],"_links":{"self":[{"href":"https:\/\/drpolyzos.gr\/en\/wp-json\/wp\/v2\/posts\/250","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drpolyzos.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drpolyzos.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drpolyzos.gr\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/drpolyzos.gr\/en\/wp-json\/wp\/v2\/comments?post=250"}],"version-history":[{"count":1,"href":"https:\/\/drpolyzos.gr\/en\/wp-json\/wp\/v2\/posts\/250\/revisions"}],"predecessor-version":[{"id":1733,"href":"https:\/\/drpolyzos.gr\/en\/wp-json\/wp\/v2\/posts\/250\/revisions\/1733"}],"wp:attachment":[{"href":"https:\/\/drpolyzos.gr\/en\/wp-json\/wp\/v2\/media?parent=250"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drpolyzos.gr\/en\/wp-json\/wp\/v2\/categories?post=250"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drpolyzos.gr\/en\/wp-json\/wp\/v2\/tags?post=250"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}