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Infect Dis Clin North Am. 2013 Dec;27(4):793-809. doi: 10.1016/j.idc.2013.08.004. Epub 2013 Oct 31.

Pelvic inflammatory disease: current concepts in pathogenesis, diagnosis and treatment.

Author information

1
Department of Obstetrics & Gynecology, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, USA. Electronic address: camitch@uw.edu.

Abstract

Pelvic inflammatory disease (PID) is characterized by infection and inflammation of the upper genital tract in women and can cause significant reproductive health sequelae for women. Although a definitive diagnosis of PID is made by laparoscopic visualization of inflamed, purulent fallopian tubes, PID is generally a clinical diagnosis and thus represents a diagnostic challenge. Therefore, diagnosis and treatment algorithms advise a high index of suspicion for PID in any woman of reproductive age with pelvic or abdominal pain. Antibiotic therapy should be started early, and given for an adequate period of time to reduce the risk of complications. Coverage for anaerobic organisms should be considered in most cases.

KEYWORDS:

Cervical infection; Chlamydia trachomatis; Neisseria gonorrhoeae; Pelvic inflammatory disease

PMID:
24275271
PMCID:
PMC3843151
DOI:
10.1016/j.idc.2013.08.004
[Indexed for MEDLINE]
Free PMC Article

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