Pelvic inflammatory disease (PID) refers to a spectrum of upper female genital tract inflammatory disorders, including endometritis, salpingitis, tubo-ovarian abscess (TOA), and peri...
Clinical criteria for PID are designed to have high sensitivity because consequences of untreated PID are significant.
If PID suspected based on clinical presentation and examination, tr...
All CDC-recommended regimens for PID require 14-day treatment duration.
Fluoroquinolones not recommended for PID treatment because of N. gonorrhoeae resistance
Metronidazole treatment sho...
All patients diagnosed with PID should have follow-up within 72 hours to assess the following:
Treatment tolerance/adherence
Symptom improvement
If patients are not ...
Butz AM, Gaydos C, Chung SE, et al. Care-seeking behavior after notification among young women with recurrent sexually transmitted infections after pelvic inflammatory disease. Clin...
614.9 Unspecified inflammatory disease of female pelvic organs and tissues
615.9 Unspecified inflammatory disease of uterus
614.2 Salpingitis and oophoritis not specified as acute, subacute, o...
Q: My patient has negative testing for N. gonorrhoeae and C. trachomatis, should I have her discontinue the medications if she has clinically improved?
A: No. PID is a polymicrobial infection and t...
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Laparoscopic view of acute pelvic inflammatory disease (PID).
Pyosalpinx and blunted fimbria associated with acute PID.
FIG. 9.16. A: Trichomonad in the vaginal discharge of a 17-year-old patient with gonococcal pelvic inflammatory disease. The flagellated protozoan is elliptical and somewhat larger than the adjacent polymorphonuclear leukocytes (2253 magnification). B: After suspension in saline solution for microscopy, trichomonads gradually become swollen and immobile. This balloon-shaped trichomonad is barely recognizable (2253 magnification).
FIG. 9.16. A: Trichomonad in the vaginal discharge of a 17-year-old patient with gonococcal pelvic inflammatory disease. The flagellated pr...