2014년 12월 9일 화요일

골반염(PID)의 치료 (CDC 2006 Guideline)



Recommended Oral Outpatient Treatment of Pelvic Inflammatory Disease
Regimen A
  Levofloxacin 500 mg once daily for 14 days
  or
  Ofloxacin 400 mg once daily for 14 days with or without
  Metronidazole 500 mg twice daily for 14 days
Regimen B
  Ceftriaxone 250 mg IM once plus
  Doxycycline 100 mg orally twice daily for 14 days with or without
  Metronidazole as above
  or
  Cefoxitin 2 g IM with 1 g oral Probenecid once plus
  Doxycycline 100 mg as above with or without
  Metronidazole as above
  or
  Ceftizoxime or cefotaxime 1 gram IM
  plus
  Doxycycline 100 mg as above with or without
  Metronidazole as above

Recommended Parenteral Treatment of Pelvic Inflammatory Disease
Regimen A
  Cefotetan 2 g IV every 12 hours
  or
  Cefoxitin 2 grams IV every 6 hours plus
  Doxycycline 100 mg orally or IV every 12 hours
Regimen B
  Clindamycin 900 mg IV every 8 hours plus
  Gentamicin loading dose 2 mg/kg followed by a maintenance dose of 1.5 mg/kg every 8 hours. Single daily dosing at 5 to 7 mg/kg per day may be substituted.
Alternative Parenteral Regimens
  Levofloxacin 500 mg IV once daily with or without
  Metronidazole 500 mg IV every 8 hours
  or
  Ofloxacin 400 mg IV every 12 hours with or without
  Metronidazole 500 mg as above
  or
  Ampicillin/sulbactam 3 g IV every 6 hours plus
  Doxycycline 100 mg orally or IV as above

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