Post Date July, 28 2023
In the treatment of the occurrence of pelvic inflammation, the most commonly used method is drug treatment. During the treatment period, with the help of traditional Chinese medicine, attention should also be paid to achieving better results.
What medication should be taken for pelvic inflammatory disease
1. Outpatient medication treatment: Patients generally have good conditions, mild symptoms, can tolerate oral antibiotics, and have follow-up conditions. Antibiotics can be administered orally or intramuscularly at the outpatient clinic. 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 medication method for antibiotic treatment is intravenous drip, which has a fast effect. The commonly used schemes are as follows:
① Cephamycin or cephalosporins: Cephamycin, such as cefoxitin sodium 2g, intravenous drip, once every 6 hours or cefotetan disodium 2g, intravenous drip, once every 12 hours. Add 100 milligrams of tetracycline, once every 12 hours, intravenously or orally. 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 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 The combined scheme of Clindamycin and aminoglycosides: Clindamycin 900 mg, once every 8 hours, intravenous drip of Gentamicin first gives the load amount (2 mg/kg), then gives the maintenance amount (1.5 mg/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.
