What is the recommended treatment for a 16-year-old female with bilateral lower abdominal pain and a positive cervical culture for Chlamydia?

What is the recommended treatment for a 16-year-old female with bilateral lower abdominal pain and a positive cervical culture for Chlamydia?

• A. Oral doxycycline
• B. Outpatient treatment with IM ceftriaxone and oral doxycycline
• C. Hospitalization with parenteral antibiotics
• D. IM procaine penicillin

Answer: (C)

The recommended treatment for a 16-year-old female with bilateral lower abdominal pain and a positive cervical culture for Chlamydia typically indicates a diagnosis of pelvic inflammatory disease (PID), which can involve complications such as severe pain, potential abscess formation, and the risk of future fertility issues if left untreated. In cases of PID, especially when there are significant symptoms such as severe abdominal pain, fever, and tachycardia, hospitalization with parenteral antibiotics is often warranted. This approach allows for the close monitoring of the patient and the administration of more potent antibiotics that can effectively target possible polymicrobial infections. Intravenous antibiotics provide rapid therapeutic levels and can be adjusted based on clinical response and any emerging laboratory results. Oral medications, while effective for uncomplicated infections, may not adequately address the possible complications associated with pelvic inflammatory disease in a patient presenting with acute symptoms. Thus, in this scenario, hospitalization and initiation of parenteral antibiotic therapy is the most appropriate approach to ensure the effective management of the patient's condition and to prevent serious sequelae.

The recommended treatment for a 16-year-old female with bilateral lower abdominal pain and a positive cervical culture for Chlamydia typically indicates a diagnosis of pelvic inflammatory disease (PID), which can involve complications such as severe pain, potential abscess formation, and the risk of future fertility issues if left untreated.

In cases of PID, especially when there are significant symptoms such as severe abdominal pain, fever, and tachycardia, hospitalization with parenteral antibiotics is often warranted. This approach allows for the close monitoring of the patient and the administration of more potent antibiotics that can effectively target possible polymicrobial infections. Intravenous antibiotics provide rapid therapeutic levels and can be adjusted based on clinical response and any emerging laboratory results.

Oral medications, while effective for uncomplicated infections, may not adequately address the possible complications associated with pelvic inflammatory disease in a patient presenting with acute symptoms. Thus, in this scenario, hospitalization and initiation of parenteral antibiotic therapy is the most appropriate approach to ensure the effective management of the patient's condition and to prevent serious sequelae.