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Pelvic Inflammatory Disease

Erin Fredrickson, MPH, DO, Jeanne M. Cawse-Lucas, MD and Jenell Stewart, D.O., M.P.H. Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Pelvic inflammatory disease (PID) is an infectious and inflammatory disorder of the upper female genital tract, including the uterus, fallopian tubes, ovaries, and adjacent pelvic st...

DIAGNOSIS

  • The diagnosis of PID is primarily clinical.

  • The positive predictive value of clinical diagnosis is 65–90% compared with laparoscopy (2).

  • The CDC recommends empiric treatment for PID in female...

TREATMENT

  • Patient education: Avoid intercourse until patient and partner(s) have been treated dn. Counsel patients and partners on possible long-term implications.

  • Outpatient treatment recommended, if ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Follow up 72 hours after initiation of treatment, particularly for patients with moderate or severe clinical presentation (3).

  • Observe for worse...

REFERENCES

1
Brunham  R, Gottlieb  S, Paavonen  J. Pelvic inflammatory disease. N Engl J Med.  2015;372(21):2039–2048. [View Abstract on OvidMedline]
2
...

CODES

ICD10

  • N70.0 Acute salpingitis and oophoritis

  • N70 Salpingitis and oophoritis

  • N71.0 Acute inflammatory disease of uterus

  • N73.1 Chronic parametritis and pelvic cellulitis

  • N73.3 Female acute pelvic perit...

CLINICAL PEARLS

  • PID often starts with gonorrhea or chlamydia infection, but it is can be polymicrobial.

  • Treat based on clinical suspicion (pelvic pain, cervical motion or adnexal or uterine tenderness)...

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