Regimen A
Cefotetan (Cefotan), 2 g IV every 12 hours
or
Cefoxitin (Mefoxin), 2 g IV every 6 hours
plus
Doxycycline (Vibramycin), 100 mg IV or orally every 12 hours
Regimen B
Clindamycin, 900 mg IV every 8 hours
plus
Gentamicin, IV or IM, loading dose 2 mg per kg, followed by maintenance dose, 1.5 mg per kg, every 8 hours. Single daily dosing may be substituted.
Alternative regimens
1. Ofloxacin (Floxin), 400 mg IV every 12 hours
plus
Metronidazole (Flagyl), 500 mg IV every 8 hours
or
2. Ampicillin/sulbactam (Unasyn), 3 g IV every 6 hours
plus
Doxycycline, 100 mg IV or orally every 12 hours
or
3. Ciprofloxacin (Cipro), 200 mg IV every 12 hours
plus
Doxycycline 100 mg IV or orally every 12 hours
plus
Metronidazole 500 mg IV every 8 hours