Pelvic inflammatory disease (PID) is a disorder of the reproductive tract. According to the article that I chose, it is usually misdiagnosed and ineffectively treated. The complications of PID include chronic pelvic pain, ectopic pregnancy, infertility and can be prevented if patients are screened for sexually transmitted infections (STI). There are guidelines that have been developed by the Centers for Disease Control (CDC) for the screening and treatment of PID. Many health care providers do not follow the recommendations, so many women and teens are not screened and treated correctly. The authors feel that interventions are needed to promote awareness of the severity of the disease and the treatment options available. According to the article,
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Regimen A: CeFotetan 2 g IV every 12 hours + doxycycline 100 mg PO or IV every 12 hours.
2. Regimen B: CeFoxitin 2 g IV every 6 hours + doxycycline 100 mg PO or IV every 12 hours.
3. Regimen C Clindamycin 900 mg IV every 8 hours + gentamicin 2 mg/kg loading dose IV or IM followed by 1.5 mg/kg every 8 hours (can substitute single daily dosage of 3–5 mg/kg).
4. Alternate regimen: Ampicillin/sulbactam 3 g IV every 6 hours + doxycycline 100 mg orally or IV every 12 hours (CDC, 2015).
To prevent spread of the disease women should not have sexual intercourse until all medications are completed, the symptoms have gone away or their partner has been tested and treated. It is also recommended that all women diagnosed with PID get tested for HIV, gonorrhea and chlamydia. When a patient is diagnosed with PID, there will be unanswered questions, increased stress and emotional uncertainty. The patient may have feelings of hurt, betrayal, shame, low self-esteem and anger. If the person is in a committed relationship, they must deal with the fact that someone has been unfaithful. Some patients will be embarrassed and withdrawal from the world. It is crucial that the patient has the opportunity to join a support group or be able to express their feelings to
Regimen A: CeFotetan 2 g IV every 12 hours + doxycycline 100 mg PO or IV every 12 hours.
2. Regimen B: CeFoxitin 2 g IV every 6 hours + doxycycline 100 mg PO or IV every 12 hours.
3. Regimen C Clindamycin 900 mg IV every 8 hours + gentamicin 2 mg/kg loading dose IV or IM followed by 1.5 mg/kg every 8 hours (can substitute single daily dosage of 3–5 mg/kg).
4. Alternate regimen: Ampicillin/sulbactam 3 g IV every 6 hours + doxycycline 100 mg orally or IV every 12 hours (CDC, 2015).
To prevent spread of the disease women should not have sexual intercourse until all medications are completed, the symptoms have gone away or their partner has been tested and treated. It is also recommended that all women diagnosed with PID get tested for HIV, gonorrhea and chlamydia. When a patient is diagnosed with PID, there will be unanswered questions, increased stress and emotional uncertainty. The patient may have feelings of hurt, betrayal, shame, low self-esteem and anger. If the person is in a committed relationship, they must deal with the fact that someone has been unfaithful. Some patients will be embarrassed and withdrawal from the world. It is crucial that the patient has the opportunity to join a support group or be able to express their feelings to