Initial treatment for suspected gonorrhea or chlamydia cervicitis is which regimen?

Initial treatment for suspected gonorrhea or chlamydia cervicitis is which regimen?

• A. Azithromycin alone
• B. Ceftriaxone and doxycycline
• C. Erythromycin
• D. Metronidazole

Answer: (B)

Treat both infections from the start. Gonorrhea and chlamydia commonly occur together in cervicitis, and gonorrhea is increasingly resistant to many antibiotics. Ceftriaxone provides reliable coverage against Neisseria gonorrhoeae, while doxycycline targets Chlamydia trachomatis. Using them together early improves cure rates and reduces complications such as pelvic inflammatory disease while awaiting lab results. The other options don’t adequately cover both pathogens—azithromycin alone may miss gonorrhea because of resistance, and erythromycin or metronidazole don’t treat gonorrhea or typical chlamydial cervicitis effectively.

Treat both infections from the start. Gonorrhea and chlamydia commonly occur together in cervicitis, and gonorrhea is increasingly resistant to many antibiotics. Ceftriaxone provides reliable coverage against Neisseria gonorrhoeae, while doxycycline targets Chlamydia trachomatis. Using them together early improves cure rates and reduces complications such as pelvic inflammatory disease while awaiting lab results. The other options don’t adequately cover both pathogens—azithromycin alone may miss gonorrhea because of resistance, and erythromycin or metronidazole don’t treat gonorrhea or typical chlamydial cervicitis effectively.