Resistance to erythromycin is often but not always associate with clindamycin resistance.
3 lower adbo pain and tenderness adnexal – cervical motion tenderness on bimanual exam abnormal discharge vaginal, cervical uncommon nausea, vomiting dysuria irregular vaginal bleeding ruq pain fitz-hugh-curtis differential diagnosis ectopic pregnancy should be excluded in all women acute appendicitis nausea and vomiting occurs in most people with appendicitis but only 50 of pid cases cx excitation occurs in 1 4 with appendicitis endometriosis symptoms may be related investigations bloodwork bhcg r o ectopic , cbc, blood cultures if septic speculum exam vaginal swab cervical cultures for gc and chlamydia ultrasound fluid in cul-de-sac may be normal hydrosalpinx, tubo-ovarian abscess, pelvic abscess laparoscopy treatment – outpatient oral regimen a ofloxacin 400 mg twice daily for 14 days or levofloxacin 500 mg once daily for 14 days with or without metronidazole 500 mg twice daily for 14 days treatment – outpatient oral regimen b ceftriaxone 250 mg im in a single dose or cefoxitin 2 g im x 1 and probenecid 1g po plus doxycycline 100 mg twice daily for 14 days with or without metronidazole 500 mg twice daily for 14 days treatment – inpatient parenteral regimen a cefoxitin 2g or cefotetan 2g iv q6h at least 48 h plus doxycycline 100mg iv po bid x 14 days parenteral regimen b clindamycin 900mg iv q8h at least 48 h plus gentamicin 2mg kg loading dose then 1.
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Clindamycin differs from erythromycin in its effectiveness against many anaerobic bacteria.
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clindamycin is an antibiotic used to treat soft tissue, dental, and bone infections caused by susceptible strains of bacteria.
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