Wife of long route truck driver with vaginal discharge comes to STD clinic ,what is an empirical treatment:: (A) Azithromycin + metronidazole + fluconazole, (B) Azithromycin, (C) Metronidazole +fluconazole, (D) Fluconazole
Answer is A. Therapy regimens for PID must provide empirical, broad-spectrum coverage of likely pathogens including N. gonorrhoeae, C. trachomatis, gram-negative facultative bacteria, anaerobes, and streptococci. Azithromycin is best used for its action against Chlamydia Metronidazole for its action against anaerobes and Bacterial vaginosis Fluconazole for its action against Candidiasis.