Patient's question:
How is pelvic inflammatory disease treated?What medication should be taken?
Doctor's answer:
Hello: The specific treatment methods are as follows:(I) Acute Pelvic Inflammation
1. Antibiotics: Combination therapy is recommended. The drugs should be selected based on bacterial culture and sensitivity tests.
(1) Penicillin G: 24 million to 100 million units daily, intravenous infusion; after improvement, reduce to 8 million to 16 million units daily, administered in divided doses via intramuscular injection.
(2) Erythromycin: 1-1.5 grams daily, intravenous infusion, plus kanamycin 0.5 grams, twice daily, intramuscular injection.
(3) Gentamicin: 16 million to 32 million units daily, intravenous infusion or administered in 2-3 divided doses via intramuscular injection.
(4) Clindamycin: 0.3-0.6 grams per dose, three times daily, intramuscular injection.
(5): 0.6 grams per dose, intravenous infusion, once every 6 hours. After the temperature returns to normal, switch to oral administration, 0.3 grams per dose, once every 6 hours.
2. Provide adequate nutrition and fluid intake, correct electrolyte imbalances and acid-base disorders.
(II) Chronic Pelvic Inflammation
While using antibiotics, α-chymotrypsin 5 mg or hyaluronic acid 1500 units can be administered via intramuscular injection, once every other day, with 5-10 doses constituting one course. Alternatively, antibiotics can be used in combination with prednisone. Prednisone 5 mg can be taken orally three times daily, and the dosage should be gradually reduced after discontinuation.