TABLE 1053 Inpatient Antibiotic Management of Pelvic Inflammatory Disease

If an IUD is present, it should be removed after antibiotics have been started. Parenteral antibiotics may be switched to oral antibiotics 24 h after evidence of clinical improvement. All patients should be re-evaluated in 72 hours for evidence of substantial clinical improvement (defervescence, decreased abdominal tenderness, decreased uterine, adnexal, and cervical motion tenderness) and compliance with their regimen. 2°2.! and22 Patients who do not improve within this time frame should be re-evaluated for possible laparoscopic or surgical intervention, i.e., drainage of pus loculations or tubo-ovarian abscess, or to reconsider other possible diagnoses.

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