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Tubo-ovarian abscess
Admit, IV antibiotics, drain if no response.
Source: CDC · BASHHCeftriaxone + doxycycline + metronidazoleIV firstCeftriaxone 1–2 g daily, doxycycline 100 mg twice daily, metronidazole 500 mg twice daily.⚠ Oral when improving; 14 days in total.
Clindamycin + gentamicinAlternativePer local protocol.
- 60–80% settle with antibiotics alone.
- Drain (radiology or laparoscopy) if no improvement in 48–72 hours or a large abscess.
- Ruptured abscess with sepsis: emergency laparotomy.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.