| Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
| Cure rate | |||||
|
RCT |
33 women In review |
Cure rate
15/15 (100%) with ofloxacin (oral then IV) plus metronidazole 7/18 (39%) with clindamycin plus gentamicin |
RR 1.06 95% CI 0.95 to 1.18 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
115 women In review |
Cure rate
46/55 (84%) with cefoxitin plus doxycycline 52/60 (87%) with clindamycin plus gentamicin |
RR 0.97 95% CI 0.83 to 1.12 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
198 women In review |
Cure rate
75/94 (80%) with cefoxitin plus doxycycline 87/104 (84%) with clindamycin plus gentamicin |
RR 0.95 95% CI 0.84 to 1.09 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
130 women In review |
Cure rate
64/67 (96%) with cefoxitin plus doxycycline 57/63 (90%) with clindamycin plus gentamicin |
RR 1.06 95% CI 0.96 to 1.16 Overall effect size RR 1.01 95% CI 0.93 to 1.08 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
131 women In review |
Cure rate
49/64 (77%) with ceftriaxone plus doxycycline 57/67 (85%) with ciprofloxacin plus clindamycin |
RR 0.90 95% CI 0.76 to 1.07 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
148 women In review |
Cure rate
73/75 (97%) with cefoxitin plus doxycycline 70/73 (96%) with clindamycin plus tobramycin |
RR 1.02 95% CI 0.96 to 1.08 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
249 women In review |
Cure rate
75/121 (62%) with cefoxitin plus probenecid plus doxycycline 80/128 (63%) with ofloxacin |
RR 0.99 95% CI 0.82 to 1.20 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
62 women In review |
Cure rate
30/31 (97%) with cefoxitin plus doxycycline 28/31 (90%) with clindamycin plus amikacin |
RR 1.07 95% CI 0.94 to 1.22 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
79 women In review |
Cure rate
38/40 (95%) with cefoxitin plus doxycycline 36/39 (92%) with clindamycin plus tobramycin |
RR 1.03 95% CI 0.98 to 1.08 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
72 women In review |
Cure rate
34/35 (97%) with cefoxitin plus probenecid plus doxycycline 35/37 (95%) with ofloxacin |
RR 1.03 95% CI 0.93 to 1.13 Overall effect size RR 1.02 95% CI 0.97 to 1.06 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
25 women In review |
Cure rate
13/15 (87%) with clindamycin plus gentamicin 10/10 (100%) with ciprofloxacin |
RR 0.87 95% CI 0.71 to 1.06 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
76 women In review |
Cure rate
38/40 (95%) with clindamycin plus gentamicin 33/36 (92%) with ceftazidime plus doxycycline |
RR 1.04 95% CI 0.92 to 1.17 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
68 women In review |
Cure rate
34/35 (97%) with clindamycin plus gentamicin 33/33 (100%) with ciprofloxacin (plus clindamycin in one women) |
RR 0.97 95% CI 0.92 to 1.03 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
84 women In review |
Cure rate
40/40 (100%) with clindamycin plus gentamicin 41/44 (93%) with meropenem |
RR 1.07 95% CI 0.99 to 1.16 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
77 women In review |
Cure rate
39/40 (98%) with clindamycin plus gentamicin plus doxycycline 37/37 (100%) with imipenem plus cilastin (plus doxycycline in some women) |
RR 0.98 95% CI 0.93 to 1.02 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
58 women In review |
Cure rate
21/29 (72%) with clindamycin plus gentamicin 23/29 (79%) with cefotaxime |
RR 0.91 95% CI 0.68 to 1.22 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
30 women In review |
Cure rate
14/14 (100%) with clindamycin plus gentamicin 15/16 (94%) with ciprofloxacin |
RR 0.98 95% CI 0.90 to 1.07 Overall effect size RR 1.00 95% CI 0.96 to 1.04 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
81 women In review |
Cure rate
10/42 (24%) with amoxicillin/clavulanate 9/39 (25%) with amoxicillin plus aminoglycoside plus metronidazole |
RR 1.03 95% CI 0.47 to 2.27 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
20 women In review |
Cure rate
2/10 (20%) with ampicillin plus metronidazole 10/10 (100%) with doxycycline plus oxytetracycline/tetracycline plus metronidazole |
RR 0.20 95% CI 0.06 to 0.69 The review reported that overall trial quality was poor |
Large effect size | doxycycline plus oxytetracycline/tetracycline plus metronidazole |
|
RCT |
44 women In review |
Cure rate
20/22 (91%) with amoxicillin/clavulanate 19/22 (86%) with ampicillin (or amoxicillin) plus gentamicin plus metronidazole |
RR 1.05 95% CI 0.85 to 1.30 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
60 women In review |
Cure rate
28/30 (93%) with ampicillin 28/30 (93%) with cefoxitin |
RR 1.00 95% CI 0.87 to 1.14 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
33 women In review |
Cure rate
17/18 (94%) with doxycycline plus amoxicillin/clavulanate 15/15 (100%) with ofloxacin plus amoxicillin/clavulanate |
RR 0.94 95% CI 0.84 to 1.06 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
47 women In review |
Cure rate
22/23 (97%) with ampicillin 18/24 (75%) with doxycycline |
RR 1.28 95% CI 1.00 to 1.63 Overall effect size RR 1.05 95% CI 0.91 to 1.22 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
34 women In review |
Cure rate
14/16 (88%) with imipenem plus cilastatin 18/18 (100%) with meropenem |
RR 0.88 95% CI 0.73 to 1.05 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
36 women In review |
Cure rate
16/19 (84%) with cefoxitin 14/17 (82%) with cefotaxime |
RR 1.02 95% CI 0.76 to 1.37 Overall effect size RR 0.95 95% CI 0.87 to 1.04 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
64 women In review |
Cure rate
42/44 (95%) with lymecycline 9/20 (45%) with clindamycin |
RR 2.12 95% CI 1.30 to 3.46 The review reported that overall trial quality was poor |
Moderate effect size | lymecycline |
|
RCT |
79 women In review |
Cure rate
40/40 (100%) with azithromycin plus metronidazole 38/39 (97%) with azithromycin |
RR 0.89 95% CI 0.50 to 1.57 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
36 women In review |
Cure rate
14/20 (70%) with doxycycline plus metronidazole 15/16 (94%) with ciprofloxacin |
RR 0.75 95% CI 0.55 to 1.02 Overall effect size RR 0.80 95% CI 0.52 to 1.24 The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
741 women with PID, without pelvic or tubo-ovarian abscess |
Resolution of signs and symptoms
5–24 days post-treatment
262/289 (90.7%) with ofloxacin plus metronidazole 248/275 (90.2%) with moxifloxacin alone |
Difference +0.5% 95% CI –5.7% to +4.0% The review reported that overall trial quality was poor |
Not significant | |
|
RCT |
669 women with uncomplicated acute PID |
Clinical cure rate (defined as reduction of ≥70% in severity score and normal temperature and leukocyte count)
2–14 days post-treatment
222/342 (64.7%) with oral moxifloxacin for 14 days 212/326 (65%) with oral doxycycline plus oral metronidazole for 14 days plus one oral ciprofloxacin dose |
P >0.05 |
Not significant | |
|
RCT |
669 women with uncomplicated acute PID |
Clinical success rate (defined as clinical cure or improvement i.e., <70% reduction but >30% plus normal temperature and leukocyte count)
21–35 days post-treatment
206/343 (60%) with oral moxifloxacin for 14 days 191/326 (59%) with oral doxycycline plus oral metronidazole for 14 days plus one oral ciprofloxacin dose |
P >0.05 |
Not significant | |
|
RCT |
120 women with mild PID treated in an outpatient setting |
Cure rate (defined as absence or reduction of pelvic tenderness as compared to baseline pain levels)
day 14
42/58 (72%) with doxycycline 56/62 (90%) with azithromycin plus placebo |
P = 0.01 |
azithromycin | |
|
RCT |
120 women with mild PID treated in an outpatient setting |
Cure rate (defined as reduction of >70% on VAS)
day 14
23/42 (55%) with doxycycline 35/56 (63%) with azithromycin plus placebo |
P = 0.53 |
Not significant | |
|
RCT |
120 women with mild PID treated in an outpatient setting |
Cure rate (defined as reduction of >70% on modified McCormack pain scale)
day 14
13/42 (31%) with doxycycline 21/56 (38%) with azithromycin plus placebo |
P = 0.52 |
Not significant | |
|
RCT |
460 women with PID with no pelvic or tubo-ovarian abscess on pelvic ultrasonography and at laparoscopic examination, not requiring intravenous treatment |
Clinical cure rate (>70% reduction in tenderness score on McCormack scale, apyrexia, and WBC <10,500/mm3)
7–14 days post-treatment
163/228 (71.5%) with oral moxifloxacin for 14 days 171/232 (73.7%) with oral levofloxacin plus oral metronidazole for 14 days |
P >0.05 |
Not significant | |
|
RCT |
460 women with PID with no pelvic or tubo-ovarian abscess on pelvic ultrasonography and at laparoscopic examination, not requiring intravenous treatment |
Clinical cure rate (>70% reduction in tenderness score on McCormack scale, apyrexia, and WBC <10,500/mm3)
28–42 days post-treatment
166/228 (72.8%) with oral moxifloxacin for 14 days 169/232 (72.8%) with oral levofloxacin plus oral metronidazole for 14 days |
Significance not assessed |