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The nurse practitioner knows that the recommended treatment option for PID is?

a. Ceftin (cefuroxime) + doxycycline
b. Ceftin (cefuroxime) + penicillin
c. Ceftin (cefuroxime) + Azithromycin
d. Ceftin (cefuroxime) + Augmentin

1 Answer

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Final answer:

The recommended treatment option for PID would typically be a regimen that includes doxycycline, a tetracycline antibiotic, often used in conjunction with a cephalosporin such as ceftriaxone. Other antibiotics such as azithromycin can also be used, particularly when treating co-infections with Chlamydia trachomatis and Neisseria gonorrhoeae, which are common in cases of PID.

Step-by-step explanation:

The recommended treatment option for pelvic inflammatory disease (PID) would typically involve a combination of broad-spectrum antibiotics to cover the potential range of pathogens involved. Based on the information provided and current guidelines, which usually recommend treatment options for potential co-infections with Chlamydia trachomatis (C. trachomatis) and Neisseria gonorrhoeae, the regimen including cefuroxime (a cephalosporin) with doxycycline is one of the commonly recommended treatments. The Centers for Disease Control and Prevention (CDC) suggests using doxycycline alongside a cephalosporin like ceftriaxone rather than cefuroxime, which can be effective in the early stage of certain infections. It's important for healthcare professionals to consider resistance patterns in their region when choosing antibiotics.

While other combinations such as cefuroxime with azithromycin or cefuroxime with penicillin may be effective against certain infections, they are not the standard first-line therapy for PID. Since azithromycin can be used to treat C. trachomatis and is often given with cephalosporins such as ceftriaxone for gonorrheal infections, it's a plausible option. However, azithromycin and doxycycline are generally preferred as they provide coverage for both C. trachomatis and N. gonorrhoeae, which are often simultaneously present in PID.

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