Pelvic inflammatory disease: diagnosis and management.
نویسنده
چکیده
BACKGROUND Acute pelvic inflammatory disease (PID) is a major gynecologic health problem in the United States, afflicting more than 1 million women each year and generating annual direct and indirect costs estimated at $4.2 billion. Family physicians can play an important role in the prevention, as well as diagnosis and treatment, of PID. METHODS A MEDLINE search for articles published from 1985 to the present was made using the key words "pelvic inflammatory disease," "endometritis," "salpingitis," "tubo-ovarian abscess," "adnexitis," "pelvic abscess," "parametritis," and "oophoritis." The bibliographies of these articles and the author's personal files were also sources of information. RESULTS AND CONCLUSIONS A number of risk factors have been linked to PID, including young age, age at first intercourse, multiple sex partners, the presence of bacterial vaginosis, vaginal douching, the use of an intrauterine contraceptive device, and a history of a sexually transmitted disease. The diagnosis of PID represents a major clinical challenge that requires a careful history and physical examination coupled with selective and knowledgeable use of the diagnostic tests and procedures currently available. Broad-spectrum antibiotics, which represent the cornerstone of therapy, must adequately cover the polymicrobial spectrum of pathogens implicated in this infection, which includes Neisseria gonorrhoeae, Chlamydia trachomatis, and specific cervicovaginal anaerobic and aerobic bacteria. The numerous sequelae associated with PID, which include infertility, ectopic pregnancy, and chronic pelvic pain syndromes, underscore the need for effective measures for preventing pelvic inflammatory disease.
منابع مشابه
Pathogenesis, diagnosis, and management of severe pelvic inflammatory disease and tuboovarian abscess.
Severe pelvic inflammatory disease and tuboovarian abscesses (TOAs) are common pelvic infections requiring inpatient admission. There are few large randomized trials guiding appropriate clinical management of TOA, including antibiotic selection and timing of surgical management and drainage. The pathogenesis, diagnosis, and management of severe pelvic inflammatory disease and TOA are summarized...
متن کاملDiagnosis and Management of Patients with Clinically Suspected Acute Pelvic Inflammatory Disease
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Diagnosis and management of sexually transmitted diseases among adolescents.
1. List biologic and physiologic reasons for the disproportionate adolescent sexually transmitted disease susceptibility. 2. Describe clinical and laboratory findings on examination of a female who has mucopurulent cervicitis. 3. Describe the causative pathogens and etiologic evaluation for vaginitis. 4. List the criteria for diagnosis of pelvic inflammatory disease. 5. Describe the documentati...
متن کاملاتیولوژی بیماریهای التهابی لگن (مروری)
Background: Pelvic inflammatory disease (PID) is one of the most common infections between women during reproductive age which is associated with major long-term complication, including tubal factor infertility, ectopic pregnancy, and chronic pelvic pain. In addition, treatment of acute PID and its sequelae impose health care costs. Prevention of these long-term complications is dependen...
متن کاملDiagnostic Evaluation of Pelvic Inflammatory Disease
Pelvic inflammatory disease (PID) is a serious public health and reproductive health problem in the United States. An early and accurate diagnosis of PID is extremely important for the effective management of the acute illness and for the prevention of long-term sequelae. The diagnosis of PID is difficult, with considerable numbers of false-positive and false-negative diagnoses. An abnormal vag...
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ورودعنوان ژورنال:
- The Journal of the American Board of Family Practice
دوره 7 2 شماره
صفحات -
تاریخ انتشار 1961