Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ Key Features ++ In most cases, no organism is isolated Most common causes include Chlamydia trachomatis or Neisseria gonorrhoeae Herpes simplex virus, Trichomonas vaginalis, and Mycoplasma genitalium are less common causes Bacterial vaginosis is recognized as a cause Cervicitis can also be present without a sexually transmitted infection +++ Clinical Findings ++ Characterized by Purulent or mucopurulent endocervical exudate visible in the endocervical canal or on an endocervical swab Easily induced bleeding with the passage of a cotton swab through the cervical os Often asymptomatic, but many patients have an abnormal vaginal discharge or postcoital bleeding +++ Diagnosis ++ Although endocervical Gram stain may show an increased number of polymorphonuclear leukocytes, it has a low positive predictive value and is not recommended for diagnosis Patients with cervicitis should be tested for C trachomatis, N gonorrhoeae, and trichomoniasis by using the most sensitive and specific tests available +++ Treatment ++ Azithromycin, 1 g orally as single dose Doxycycline, 100 mg orally twice a day for 7 days Ceftriaxone, 250 mg intramuscularly as single dose plus azithromycin, 1 g orally as single dose Your MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth