Pediatric Cervicitis Medication

Updated: Jul 10, 2019
  • Author: Latha Chandran, MD, MPH; Chief Editor: Andrea L Zuckerman, MD  more...
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Medication Summary

Therapy for cervicitis depends on the etiologic agent. The Centers for Disease Control and Prevention (CDC) revised their treatment guidelines for sexually transmitted diseases in 2010 [16] ; in 2015, a further update was published. [17]  Agents used to treat cervicitis include azithromycin, doxycycline, ceftriaxone, cefixime, and metronidazole.



Class Summary

Testing to determine the specific microorganism causing the infection is recommended because both chlamydial and gonococcal infections are reportable to state health departments. If diagnostic tools (eg, Gram stain, microscope) are unavailable, treat patients for both infections.

Ceftriaxone (Rocephin)

First choice for treatment for gonococcal cervicitis.

Doxycycline (Bio-Tab, Vibramycin, Doryx)

Treatment of choice for chlamydial cervicitis.

Metronidazole (Flagyl)

Synthetic antimicrobial agent active against most obligate anaerobes. Used in Trichomonas infection.

Azithromycin (Zithromax)

Macrolide antibiotic for treatment of C trachomatis infection.

Cefixime (Suprax)

Effective PO for treating gonococcal cervicitis. Arrests bacterial cell-wall synthesis and inhibits bacterial growth by binding to one or more penicillin-binding protein.