Post Date September, 24 2023
Osteitis is a disease that we should pay attention to, and it is also very harmful to women, especially after illness, Curative care should be carried out, and patients should also do cooking work during treatment.
Drug therapy for pelvic inflammatory disease
1. Outpatient medication treatment: Patients generally have good conditions, mild symptoms, can withstand oral antibiotics, have follow-up conditions, and can be treated with oral or intramuscular antibiotics in the outpatient department. Common solutions:
① Ceftriaxone sodium 250mg, intramuscular injection, cefoxitina 2g, intramuscular injection, oral probenecid 1g, changed to Doxycycline 100mg, twice a day, 14 days, and oral Metronidazole 400mg, twice a day, 14 days
② Ofloxacin 400mg orally, 2 words a day, or Levofloxacin 500mg orally, once a day, while Metronidazole 400mg, 2-3 times a day, 400mg Moxifloxacin for 14 consecutive days, once a day, for 14 consecutive days.
2. In hospital drug treatment: the patient's general condition is poor, the condition is serious, and the outpatient treatment of pelvic Peritonitis or tubo ovarian abscess with fever, nausea and vomiting is ineffective or oral antibiotics are unbearable or the diagnosis is unclear. In hospital antibiotic drug treatment is the main comprehensive treatment. Among them, the Route of administration for antibiotic treatment is intravenous drip, and the common scheme is as follows:
① Cephamycin or Cephalosporin: Cephamycin, such as cefoxitin sodium, 2g, intravenous drip, once every 6 hours; Or Cefotetan disodium 2g, intravenous drip, once every 12 hours. Doxycycline 100mg was added every 12 hours, intravenous or oral. Cephalosporins, such as Cefuroxime sodium, cefazol sodium, Ceftriaxone sodium, cefazol sodium, etc. After clinical symptoms improve for at least 24 hours, turn to oral medication, Doxycycline 100mg, once every 12 hours, for 14 consecutive days. For those who cannot tolerate Doxycycline, Azithromycin can be used instead, 500mg each time, once a day, for three consecutive days. For patients with tubo ovarian abscess, Clindamycin or Metronidazole can be added to more effectively fight against anaerobic bacteria.
② Joint scheme of Clindamycin and aminoglycosides: Clindamycin 900mg, once every 8 hours, intravenous drip; Gentamicin was given a loading dose (2mg/kg), then a maintenance dose (1.5mg/kg), once every 8 hours, intravenous drip. After the improvement of clinical symptoms and signs, continue to apply Clindamycin intravenously for 24-48 hours, and change it to oral administration, 450 mg each time, 4 times a day, and 100 mg Doxycycline for 14 consecutive days, once every 12 hours, for 14 consecutive days.
