A Patient Is Diagnosed with Pelvic Inflammatory Disease (PID)

A patient is diagnosed with pelvic inflammatory disease (PID) . Which treatment regimen is most appropriate for reducing the risk of sterility in this patient?

A) Azithromycin [Zithromax], 1 gm PO once, and cefoxitin, 2 gm IM once in the clinic
B) Ceftriaxone [Rocephin], 250 mg IM once, with doxycycline [Vibramycin], 100 mg PO twice daily for 14 days as an outpatient
C) Doxycycline [Vibramycin], 100 mg IV twice daily, and cefoxitin, 2 gm IV every 6 hours in the hospital
D) Doxycycline [Vibramycin], 100 mg PO twice daily for 14 days, and metronidazole [Flagyl], 500 mg PO twice daily for 14 days in the hospital