# Pelvic inflammatory disease (PID outpatient therapy) - Category: infectious - Review status: reviewed (every claim checked against a document named on this page) - Sources: CDC STI Treatment Guidelines 2021 · Egyptian National Drug Formulary - Antimicrobial 2023 (doxycycline monograph) · Egyptian National Drug Formulary - Antimicrobial 2023 (metronidazole monograph) · Egyptian National Drug Formulary - Antimicrobial 2023 (ofloxacin monograph) · BASHH UK national guideline for the management of pelvic inflammatory disease, 2018, with the 2019 interim update: "i.m. ceftriaxone 1g single dose followed by oral doxycycline 100mg twice daily plus metronidazole 400mg twice daily for 14 days" · BASHH 2019 Interim Update - UK National Guideline for the Management of Pelvic Inflammatory Disease (outpatient regimens, second line therapy) · MSF Essential Drugs 2024 - paracetamol (oral) · Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560) - Verified date: 2026-08 ## Verified against - Egyptian National Drug Formulary - Antimicrobial 2023 (doxycycline monograph) - Egyptian National Drug Formulary - Antimicrobial 2023 (metronidazole monograph) - Egyptian National Drug Formulary - Antimicrobial 2023 (ofloxacin monograph) - BASHH UK national guideline for the management of pelvic inflammatory disease, 2018, with the 2019 interim update: "i.m. ceftriaxone 1g single dose followed by oral doxycycline 100mg twice daily plus metronidazole 400mg twice daily for 14 days" - BASHH 2019 Interim Update - UK National Guideline for the Management of Pelvic Inflammatory Disease (outpatient regimens, second line therapy) - MSF Essential Drugs 2024 - paracetamol (oral) - Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560) - Pelvic Inflammatory Disease - disease-level clinical article (pelvic-inflammatory-disease-clinical.txt) ## Treatment metadata - Ceftriaxone — 1000 mg — injection - Doxycycline — 100 mg — oral.solid - Metronidazole — 500 mg — oral.solid - Referral & safety-netting (no drug therapy) - Ofloxacin — 400 mg — oral.solid - Moxifloxacin — 400 mg — oral.solid - Paracetamol — 500 mg — oral.solid - Ibuprofen — 400 mg — oral.solid ## Complete treatment card ```text PELVIC INFLAMMATORY DISEASE (PID OUTPATIENT THERAPY) Sources: CDC STI Treatment Guidelines 2021 · Egyptian National Drug Formulary - Antimicrobial 2023 (doxycycline monograph) · Egyptian National Drug Formulary - Antimicrobial 2023 (metronidazole monograph) · Egyptian National Drug Formulary - Antimicrobial 2023 (ofloxacin monograph) · BASHH UK national guideline for the management of pelvic inflammatory disease, 2018, with the 2019 interim update: "i.m. ceftriaxone 1g single dose followed by oral doxycycline 100mg twice daily plus metronidazole 400mg twice daily for 14 days" · BASHH 2019 Interim Update - UK National Guideline for the Management of Pelvic Inflammatory Disease (outpatient regimens, second line therapy) · MSF Essential Drugs 2024 - paracetamol (oral) · Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560) Review status: REVIEWED against Egyptian National Drug Formulary - Antimicrobial 2023 (doxycycline monograph), Egyptian National Drug Formulary - Antimicrobial 2023 (metronidazole monograph), Egyptian National Drug Formulary - Antimicrobial 2023 (ofloxacin monograph), BASHH UK national guideline for the management of pelvic inflammatory disease, 2018, with the 2019 interim update: "i.m. ceftriaxone 1g single dose followed by oral doxycycline 100mg twice daily plus metronidazole 400mg twice daily for 14 days", BASHH 2019 Interim Update - UK National Guideline for the Management of Pelvic Inflammatory Disease (outpatient regimens, second line therapy), MSF Essential Drugs 2024 - paracetamol (oral), Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560), Pelvic Inflammatory Disease - disease-level clinical article (pelvic-inflammatory-disease-clinical.txt) (2026-08) IS IT THIS? - reference only, to read alongside your own examination SYMPTOMS - what the patient reports (6) - The pain typically affects both sides and its intensity varies widely, though some patients have no symptoms at all [abdominal pain · pelvic pain] - An IUD raises PID risk only in the first 3 weeks after insertion, not afterward - Right upper quadrant pain that radiates to the shoulder suggests spreading infection causing Fitz-Hugh-Curtis perihepatitis [abdominal pain · right upper quadrant pain] - It is an ascending infection from the lower genital tract that can reach the uterus, the fallopian tubes and the ovaries, and most cases trace back to a sexually transmitted infection - Red flag: the short-term complication is a tubo-ovarian or pelvic abscess, and the long-term ones are infertility, ectopic pregnancy and chronic pelvic pain [abdominal pain · abscess · infertility · pelvic pain] - Diagnosing and treating it early is what prevents the tubal damage those complications come from SIGNS - what you find (2) - Tenderness on cervical motion plus uterine and adnexal tenderness on bimanual exam is the classic finding [abdominal pain · pelvic pain] - A palpable adnexal mass raises concern for a tubo-ovarian abscess [abscess · pelvic mass] TESTS (4) - A pregnancy test is done to rule out an ectopic pregnancy as the cause of the pain - Negative endocervical swab testing for chlamydia and gonorrhea does not rule out PID - Ultrasound may show dilated fluid-filled tubes, a cogwheel appearance, or a complex adnexal mass, but a normal scan does not exclude PID - The diagnosis is primarily clinical: suspect it in a woman whose lower abdominal or pelvic pain comes with marked tenderness when the internal genitalia are palpated IF NOT THIS - what else fits (3) - Ectopic pregnancy and a ruptured ovarian cyst are both key differentials for pelvic pain in this setting - Adnexal torsion and endometriosis are also considered when evaluating similar pelvic pain - Urinary tract infection, including pyelonephritis, is also on the differential for pelvic pain Source StatPearls "Pelvic Inflammatory Disease" - disease-level clinical article Status traced to the source above !! MULTI-DRUG REGIMEN - all 3 drugs are given TOGETHER. Not a choice between them. !! the regimen: Ceftriaxone + Doxycycline + Metronidazole Rx: Antibiotic | Main treatment | Pain and fever ANTIBIOTIC - choose one 1. CEFTRIAXONE [1 of 3 - GIVE ALL TOGETHER] Adult 1 g IM, one part of the three-drug regimen - with doxycycline and metronidazole below, not an alternative to them - Single dose Peds Adolescent regimen identical to adult dose AWaRe WATCH group - carries resistance cost. Egyptian EML 2025. Source BASHH UK national guideline for the management of pelvic inflammatory disease, 2018, with the 2019 interim update: "i.m. ceftriaxone 1g single dose followed by oral doxycycline 100mg twice daily plus metronidazole 400mg twice daily for 14 days" Why Triple empiric regimen covering N. gonorrhoeae, C. trachomatis, and anaerobic vaginal flora Caution 1 g, not 500 mg. BASHH raised the dose in its 2019 interim update; the older 500 mg figure is still widely quoted. MUST complete full 14-day oral course of doxycycline and metronidazole even after rapid symptom improvement. Screen and treat all sexual partners within past 60 days to prevent reinfection. Advise strict avoidance of sexual intercourse until treatment complete and partners treated. Inpatient admission is required if the patient is pregnant, a tubo-ovarian abscess is suspected, or she is unable to tolerate the oral regimen. Egypt ZOXIDEL 1 GM PD. FOR I.M. INJ. RAMEDA > DELT... 22.00 EGP CEFTRIAXONE SODIUM 1 GM I.M.VIAL (KAHIRA) KAHIRA 29.00 EGP ZOXIDEL 1 GM PD. FOR I.V. INJ. RAMEDA > DELT... 29.00 EGP WINTRIAXONE 1 GM PD. FOR I.V INJ. SANOFI 48.00 EGP VOTRIAXONE 1 GM I.M VIAL CHEMIPHARM 56.00 EGP OFRAMAX 1 GM I.M. VIAL RAMEDA > SUN ... 71.00 EGP TRIAXONE 1 GM I.M. VIAL TABUK PHARMAC... 106.00 EGP TRIAXONE 1 GM I.V VIAL TABUK PHARMAC... 106.00 EGP 2. DOXYCYCLINE [2 of 3 - GIVE ALL TOGETHER] Adult 100 mg orally twice daily x 14 days Peds Adolescent regimen identical to the adult dose. Avoid under 8 years except in a severe infection with no alternative. Source Egyptian National Drug Formulary - Antimicrobial 2023 (doxycycline monograph) Why Covers Chlamydia trachomatis, which ceftriaxone does not. Leaving it out treats the gonococcus and misses the commonest cause. Caution Contraindicated in pregnancy. PID in a pregnant woman needs hospital admission, not this regimen. Swallow with a full glass of water sitting upright, and not at bedtime - the capsule ulcerates the oesophagus if it lodges. Photosensitivity is common and matters in Egyptian sun; advise cover and sunscreen for the 14 days. Separate from antacids, iron, and dairy by 2 hours, which otherwise bind the dose. The full 14 days must be completed even once the pain settles, or the infection recurs and the tubes scar. Egypt FARCODOXIN 100MG 10 CAPS. PHARCO 11.00 EGP (1.10/unit) DOXY M.R.100 MG 10 CAPS. ADWIA 12.00 EGP (1.20/unit) GRANUDOXY 100MG 10 F.C. TAB. GLOBAL NAPI P... 12.00 EGP (1.20/unit) DOXYDOX 100 MG 10 CAPS. EIPICO 23.00 EGP (2.30/unit) DOXYMYCIN 100 MG 10 CAPS. EL NILE. 30.00 EGP (3.00/unit) TABOCINE 100MG 10 CAPS. TABUK PHARMAC... 46.00 EGP (4.60/unit) VIBRAMYCIN 100MG 10 CAPS. PFIZER 65.00 EGP (6.50/unit) 3. METRONIDAZOLE [3 of 3 - GIVE ALL TOGETHER] Adult 500 mg orally twice daily - part of the line 1 regimen, and the partner drug for ofloxacin on line 2 x 14 days Peds Adolescent regimen identical to the adult dose. Source Egyptian National Drug Formulary - Antimicrobial 2023 (metronidazole monograph) Why Covers the anaerobes found in PID, and the bacterial vaginosis that so often accompanies it. Caution Treat the sexual partner as well, and abstain until both have finished, or she is reinfected. Metallic taste and nausea are expected and are not a reason to stop early. Strictly avoid alcohol and propylene glycol-containing products during treatment and for 3 days (72 hours) after the last dose - Egyptian National Drug Formulary, Antimicrobial 2023. Egypt DUMOZOL 500MG 20 F.C. TABS. MINA PHARM > ... 7.00 EGP (0.35/unit) ZOLGUARD 500MG 20 TAB. UNIPHARMA CO.... 9.00 EGP (0.45/unit) NITROFECTAZOLE 500 MG 20 F.C. TABS. GYPTO PHARMA 10.50 EGP (0.53/unit) FLAGICURE FORTE 500 MG 20 F.C. TAB KAHIRA 23.00 EGP (1.15/unit) TRICHOGYL 500MG 12 F.C.TAB. EL NASR 15.00 EGP (1.25/unit) FLAGELLAT FORTE 500MG 20 F.C.TABS. MUP 30.00 EGP (1.50/unit) GEDAZOLE 500MG 20 TAB. JEDCO INT. CO... 34.00 EGP (1.70/unit) METROGYPTON 500 MG 20 F.C. TABS. GYPTO PHARMA 34.00 EGP (1.70/unit) DUMOZOL 125MG/5ML SUSP. 125ML MINA PHARM > ... 5.75 EGP -> ? strength differs, ? different route - not oral solid METROZOLE 125MG/5ML SUSP. 120 ML MEMPHIS 19.50 EGP -> ? strength differs, ? different route - not oral solid 4. OFLOXACIN [2nd line] Adult 400 mg orally twice daily, given with metronidazole 500 mg twice daily - the same metronidazole course shown in the line 1 regimen x 14 days Peds Contraindicated in children under 18 years Source Egyptian National Drug Formulary - Antimicrobial 2023 (ofloxacin monograph) Why Alternative oral regimen where parenteral cephalosporin is contraindicated Caution The fluoroquinolone black box warning covers tendinitis, tendon rupture, peripheral neuropathy, and CNS effects. There is high local quinolone resistance in N. gonorrhoeae; use ofloxacin only when cephalosporin allergy is confirmed. Egypt GRAND Q 400 MG 10 F.C. TABS. DELTA GRAND P... 19.20 EGP (1.92/unit) OFLOGUIDE 400MG 10 F.C.TAB. BIORIGINAL IN... 28.80 EGP (2.88/unit) CEMI-FLOX 400MG 10 F.C. TABS. ARAB CAPS > M... 29.00 EGP (2.90/unit) TARIFLOX 400 MG 10 TABS. BORG 45.00 EGP (4.50/unit) UNITARQIN 400 MG 10 SCORED F.C. TAB. UNIPHARMA CO. > UNIPHARMA 38.00 EGP HEALTHIBACT 400MG 10 SCORED F.C.TAB EGPI > HEALTH WELL EGYPT 38.50 EGP 5. MOXIFLOXACIN [2nd line] Adult 400 mg orally once daily as the whole regimen - no ceftriaxone, no doxycycline, no metronidazole alongside it x 14 days Peds Not licensed under 18 years. The guideline states quinolones are not licensed for use in patients aged under 18. AWaRe WATCH group - carries resistance cost. Egyptian EML 2025. Choice Sourced preference. The entry's rationale names moxifloxacin the only single-drug regimen for pelvic inflammatory disease and the one that covers Mycoplasma genitalium. Source BASHH 2019 Interim Update - UK National Guideline for the Management of Pelvic Inflammatory Disease (outpatient regimens, second line therapy) Why The only single-drug PID regimen, and the one the guideline says covers Mycoplasma genitalium best. It matters here because it is one tablet a day for 14 days against three drugs including an injection, and adherence to the 14-day course is the thing that decides whether the tubes scar. Caution Second line, not first. The 2019 update moved the quinolones down because of disabling and potentially permanent tendon, muscle, joint and nervous system effects - the exception is M. genitalium PID where nothing else works. Given alone. It is not added to the ceftriaxone regimen and the metronidazole is not needed with it. Avoid where gonococcal PID is likely - the partner has gonorrhoea, the disease is clinically severe, or there was sexual contact abroad - because of quinolone resistance. Rare but real risk of serious liver reactions; stop for jaundice, dark urine or right upper quadrant pain. QT prolongation - check for other QT-prolonging drugs before writing it. Egypt MOXILABACT 400 MG 5 F.C. TABS. KAHIRA 30.60 EGP (6.12/unit) GASTAMOXACINE 400MG 7 F.C. TAB. MEDIZEN PHARM... 45.00 EGP (6.43/unit) MERAMERIX 400MG 5 F.C.TAB. PHARMED HEALT... 40.50 EGP (8.10/unit) IDELOX 400MG 10 F.C. TAB. RAMEDA 116.00 EGP (11.60/unit) PRIMOXIZAR 400 MG 5 F.C. TAB. PHARMA CURE P... 80.00 EGP (16.00/unit) MOXIFLOX 400 MG 10 F.C.TABS. EVA PHARMA 180.00 EGP (18.00/unit) MOXAVIDEX 400 MG 10 F.C.TABS. FUTURE PHARMA... 184.00 EGP (18.40/unit) MOXAVIDEX 400 MG 5 F.C.TABS. FUTURE PHARMA... 92.00 EGP (18.40/unit) MOXIFLOXACIN-EL NILE 400MG/250ML SOL. FOR INF. EL NILE. 80.50 EGP -> ? strength differs, ? different route - not oral solid MOXITRIX 400MG/250ML SOL. FOR INF. ARAB CO. FOR MEDICAL PRODUCTS > SPIMA... 86.00 EGP -> ? strength differs, ? different route - not oral solid MAIN TREATMENT 6. REFERRAL & SAFETY-NETTING (NO DRUG THERAPY) [1st line] Adult Source Pelvic Inflammatory Disease - disease-level clinical article (pelvic-inflammatory- disease-clinical.txt) Why Carries the referral criteria and warning signs for this condition, which apply whichever treatment is chosen. Caution RED FLAG - The indications for hospitalization instead of outpatient therapy are pregnancy, failed outpatient treatment, severe illness with vomiting/fever >38.5C, pelvic abscess, or possible need for surgery. RED FLAG - A tubo-ovarian abscess needs surgical drainage, especially if it is large, has ruptured, or the patient is septic. PAIN AND FEVER - give alongside 7. PARACETAMOL [add-on - not a substitute] Adult 1000 mg three or four times daily, maximum 4000 mg in 24 hours - while the pelvic pain lasts, reviewed at the 72-hour follow-up Peds 15 mg/kg/dose [child max 500 mg] (15 mg/kg 3 or 4 times daily, maximum 60 mg/kg daily. The PID guideline itself is aimed at women aged 16 and over; anyone younger goes down a different pathway. Under 1 month: 10 mg/kg 3 or 4 times daily, maximum 40 mg/kg/day (MSF Essential Drugs 2024).) 3kg -> 45 mg/dose 4kg -> 60 mg/dose 5kg -> 75 mg/dose 6kg -> 90 mg/dose 7kg -> 105 mg/dose 8kg -> 120 mg/dose 9kg -> 135 mg/dose 10kg -> 150 mg/dose 11kg -> 165 mg/dose 12kg -> 180 mg/dose 13kg -> 195 mg/dose 14kg -> 210 mg/dose 15kg -> 225 mg/dose 16kg -> 240 mg/dose 17kg -> 255 mg/dose 18kg -> 270 mg/dose 19kg -> 285 mg/dose 20kg -> 300 mg/dose 21kg -> 315 mg/dose 22kg -> 330 mg/dose 23kg -> 345 mg/dose 24kg -> 360 mg/dose 25kg -> 375 mg/dose 26kg -> 390 mg/dose 27kg -> 405 mg/dose 28kg -> 420 mg/dose 29kg -> 435 mg/dose 30kg -> 450 mg/dose 31kg -> 465 mg/dose 32kg -> 480 mg/dose 33kg -> 495 mg/dose 34kg -> 500 mg/dose (capped) 35kg -> 500 mg/dose (capped) 36kg -> 500 mg/dose (capped) 37kg -> 500 mg/dose (capped) 38kg -> 500 mg/dose (capped) 39kg -> 500 mg/dose (capped) 40kg -> 500 mg/dose (capped) 41kg -> 500 mg/dose (capped) 42kg -> 500 mg/dose (capped) 43kg -> 500 mg/dose (capped) 44kg -> 500 mg/dose (capped) 45kg -> 500 mg/dose (capped) 46kg -> 500 mg/dose (capped) 47kg -> 500 mg/dose (capped) 48kg -> 500 mg/dose (capped) 49kg -> 500 mg/dose (capped) 50kg -> 500 mg/dose (capped) Source MSF Essential Drugs 2024 - paracetamol (oral) Why BASHH puts analgesia in General Advice, before the antibiotic regimens, and the woman came in with pain. The guideline says 'appropriate analgesia' without naming a drug, so the drug and dose come from the label. Caution First choice for the pain here - no stomach or renal risk and it does not interact with the antibiotics. Check every other product she is taking for paracetamol. Cold and flu sachets are the usual way an accidental overdose happens. Reduce the maximum to 3000 mg/day if she is under 50 kg, malnourished, or has liver disease. Pain that is not settling by 72 hours is a reason to reassess for tubo-ovarian abscess, not a reason to add more analgesia. 500 mg is the per-dose ceiling used here for a child. 1000 mg is the adult dose and does not belong in a weight calculation - the daily 60 mg/kg limit is the one that binds first in any case. Egypt FEBRIMOL 500 MG 20 TAB. PHARCO 3.50 EGP (0.17/unit) CETAMOL 500 MG 20 TABS. MEMPHIS 8.00 EGP (0.40/unit) PARACETAMOL-MUP 500MG B.P. 20 TABS. MUP 13.00 EGP (0.65/unit) CETAL 500 MG 20 TABS. EIPICO 24.00 EGP (1.20/unit) ARKADOLOW 500 MG 30 F.C. TABS. UTOPIA 42.00 EGP (1.40/unit) PARAMOL 500MG 20 TAB. MISR 38.00 EGP (1.90/unit) ADOL 500MG 24 CAPLETS JULPHAR 32.00 EGP AUGICETAMIDE 500 MG 20 SACHETS AUG PHARMA 50.00 EGP FEBRIMOL ORAL DROPS 20 ML PHARCO 4.00 EGP -> ? strength differs, ? different route - not oral solid THERA-LO 3.2G/100ML ORAL SUSP. 100 ML PHAROPHARMA 5.00 EGP -> ? strength differs, ? different route - not oral solid 8. IBUPROFEN [add-on - not a substitute] Adult 400 mg up to three times daily with or after food, maximum 1200 mg in 24 hours - while the pelvic pain lasts, reviewed at the 72-hour follow-up Peds 20 mg/kg/day [child max 1200 mg] (20 mg/kg/day in divided doses, three to four times daily with food. Not under 3 months. The PID guideline is aimed at women aged 16 and over.) 3kg -> 60 mg/day 4kg -> 80 mg/day 5kg -> 100 mg/day 6kg -> 120 mg/day 7kg -> 140 mg/day 8kg -> 160 mg/day 9kg -> 180 mg/day 10kg -> 200 mg/day 11kg -> 220 mg/day 12kg -> 240 mg/day 13kg -> 260 mg/day 14kg -> 280 mg/day 15kg -> 300 mg/day 16kg -> 320 mg/day 17kg -> 340 mg/day 18kg -> 360 mg/day 19kg -> 380 mg/day 20kg -> 400 mg/day 21kg -> 420 mg/day 22kg -> 440 mg/day 23kg -> 460 mg/day 24kg -> 480 mg/day 25kg -> 500 mg/day 26kg -> 520 mg/day 27kg -> 540 mg/day 28kg -> 560 mg/day 29kg -> 580 mg/day 30kg -> 600 mg/day 31kg -> 620 mg/day 32kg -> 640 mg/day 33kg -> 660 mg/day 34kg -> 680 mg/day 35kg -> 700 mg/day 36kg -> 720 mg/day 37kg -> 740 mg/day 38kg -> 760 mg/day 39kg -> 780 mg/day 40kg -> 800 mg/day 41kg -> 820 mg/day 42kg -> 840 mg/day 43kg -> 860 mg/day 44kg -> 880 mg/day 45kg -> 900 mg/day 46kg -> 920 mg/day 47kg -> 940 mg/day 48kg -> 960 mg/day 49kg -> 980 mg/day 50kg -> 1000 mg/day Choice Sourced preference. The entry's rationale argues the pain of pelvic inflammatory disease is inflammatory and suits an NSAID better than paracetamol alone. Source Ibuprofen 100 mg/5 ml SmPC section 4.2 (eMC product 4560) Why The pain of PID is inflammatory and an NSAID suits it better than paracetamol alone. BASHH says 'appropriate analgesia' without naming a drug; the dose is the label's. Caution Not if she is or might be pregnant - and pregnancy must be excluded in every suspected PID anyway, because the differential is ectopic. Avoid in asthma, active peptic ulcer and renal impairment. With food, and not on top of another NSAID. Can be given with the paracetamol rather than instead of it if the pain is severe. Egypt DAJUANOFEN 400 MG 20 F.C. TABS. COPAD PHARMA 5.00 EGP (0.25/unit) FLABU 400MG 10 F.C.TAB. DELTA PHARMA 3.75 EGP (0.38/unit) NOVA-PROFEN 400MG 30 F.C. TABLETS SANOFI 12.75 EGP (0.42/unit) IBUPROFEN 400 MG 10 TAB. SEDICO 6.00 EGP (0.60/unit) MAFO 400 MG 30 F.C.TABS EIPICO 42.00 EGP (1.40/unit) BRUFEN 400 MG 30 TABS. KAHIRA > ABBO... 78.00 EGP (2.60/unit) PROFUSOL 400MG 20 S.G CAPS. EUROPEAN EGYP... 31.00 EGP ANALGIPROF 400 MG 25 SACHETS EVA PHARMA 37.50 EGP NOVA-PROFEN 100MG/5ML ORAL SUSP. 100ML SANOFI 2.25 EGP -> ? strength differs, ? different route - not oral solid BRUFEMOL-N SUSP. 60 ML ARAB DRUG COM... 4.50 EGP -> ? strength differs, ? different route - not oral solid Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy. ``` --- Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement. [Privacy policy](/privacy)