Gonorrhea treatment: ceftriaxone 500 mg IM single dose
Chlamydia treatment: doxycycline 100 mg PO BID 7 days
ACEP Clinical Policy references for soft tissue infection management
Ultrasound-guided drainage: ACEP Level B recommendation
LRINEC score for necrotizing fasciitis: ACEP Level C as adjunct
Key evidence sources
Bartholin abscess microbiology studies
E. coli predominance in 22-44% of culture-positive cases
N. gonorrhoeae present in approximately 10% of ED Bartholin abscess cases
Recurrence data
Recurrence rate 37%; 81% ipsilateral; mean 32 months to recurrence
Word catheter reduces recurrence versus simple I&D alone
Malignancy misdiagnosis data
Approximately 50% of Bartholin gland carcinomas initially misdiagnosed as benign cyst or abscess
Mandates biopsy policy in women >40 years
Coding references
ICD-10 coding for this condition
N75.1 Abscess of Bartholin's gland
N75.0 Cyst of Bartholin's gland
C51.0 Malignant neoplasm of labium majus (Bartholin gland carcinoma)
M72.6 Necrotizing fasciitis (if applicable)
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.