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European Radiology Mar 2004Pelvic infection presents a serious problem for the practicing physician and the radiologist who is called to determine the origin and extent of the inflammatory... (Review)
Review
Pelvic infection presents a serious problem for the practicing physician and the radiologist who is called to determine the origin and extent of the inflammatory process. Pelvic infection may mimic clinically other pelvic inflammatory processes and imaging based on the various aspects of it may provide information to distinguish pelvic infection from other pelvic pathological conditions. This article reviews the various imaging modalities involved in the radiological management of pelvic infection, as well as their findings, with special attention to pelvic inflammatory disease (PID).
Topics: Female; Humans; Hysterosalpingography; Magnetic Resonance Imaging; Pelvic Inflammatory Disease; Tomography, X-Ray Computed; Ultrasonography; United States
PubMed: 14749959
DOI: 10.1007/s00330-003-2043-0 -
The Medical Journal of Malaysia Dec 2007Pelvic inflammatory disease (PID) describes the clinical features of sexually transmitted pelvic infection ranging from acute salpingitis to salpingo-oophoritis and...
Pelvic inflammatory disease (PID) describes the clinical features of sexually transmitted pelvic infection ranging from acute salpingitis to salpingo-oophoritis and ultimately pelvic abscess. Intra-tubal adhesions and pelvic adhesive disease are the long-term sequelae of PID which may lead to both sub-fertility and tubal ectopic pregnancy. Laparoscopy is the definitive diagnostic modality, but is invasive and not suitable for routine clinical practice especially in the primary care setting. Ascending infection by Neiserria gonorrhoea, Chlamydia trachomatis and less commonly bacterial vaginosis and mycoplasma have been traditionally associated as causative pathogens in PID. As polymicrobial infections are being implicated in PID before culture and sensitivity results are available empirical treatment based on clinical guidelines is justified initially. Pre-emptive testing and treatment for woman at increased risk of chlamydia has been shown to reduce the risk of PID by up to two-thirds. It is imperative that medical practitioners have low thresholds for testing and treatment of both sexually active young women and men.
Topics: Female; Humans; Pelvic Inflammatory Disease
PubMed: 18705484
DOI: No ID Found -
Therapeutische Umschau. Revue... Jul 2007Pelvic inflammatory disease and upper genital tract infection describe inflammatory changes in the upper female genital tract of any combination: endometritis,...
Pelvic inflammatory disease and upper genital tract infection describe inflammatory changes in the upper female genital tract of any combination: endometritis, salpingitis, tubo-ovarian abscess and peritonitis in the small pelvis. In most cases the infection is ascending, Chlamydia trachomatis and Neisseria gonorrhoeae are common with increasing incidence. The spectrum ranges from subclinical, asymptomatic infection to severe, life-threatening illness. Antibiotic treatment should be initiated promptly and must cover a broad spectrum of germs. Surgical treatment is necessary in cases of failure of antibiotic treatment and in cases with persisting symptoms after antibiotic treatment. Pelvic inflammatory diseases are one of the main causes of tubal sterility, ectopic pregnancies and chronic abdominal pain.
Topics: Adult; Age Factors; Anti-Bacterial Agents; Diagnosis, Differential; Female; Humans; Infertility, Female; Pelvic Inflammatory Disease; Pregnancy; Pregnancy, Ectopic; Risk Factors; Ultrasonography
PubMed: 17948752
DOI: 10.1024/0040-5930.64.7.365 -
BMJ (Clinical Research Ed.) Feb 2014
Topics: Adolescent; Adult; Chlamydia Infections; Chlamydia trachomatis; Early Diagnosis; England; Female; Health Knowledge, Attitudes, Practice; Humans; Incidence; Pelvic Inflammatory Disease; Virulence; Young Adult
PubMed: 24525196
DOI: 10.1136/bmj.g1538 -
The Surgical Clinics of North America Oct 1991Pelvic inflammatory disease continues to be a common finding in young women with lower abdominal pain. Typical emergency room pelvic inflammatory disease, with classic... (Review)
Review
Pelvic inflammatory disease continues to be a common finding in young women with lower abdominal pain. Typical emergency room pelvic inflammatory disease, with classic symptoms of pain, fever, and a history of high-risk sexual behavior, is easily diagnosed with a high degree of specificity. However, the majority of patients with pelvic inflammatory disease have atypical symptoms, and their condition may be incorrectly diagnosed and treated. Careful attention to the physical signs of pelvic infection and the evaluation of the vaginal secretions for leukocytes improves diagnostic accuracy. Liberal use of diagnostic laparoscopy to confirm the possibility of acute salpingitis is recommended in young women, who have much to lose from a case of untreated salpingitis. Outpatient treatment with a beta-lactam antibiotic followed by a course of doxycycline adequately treats patients with N. gonorrhoeae and C. trachomatis infections. However, patients with suspected anaerobic upper genital tract infection such as those infections associated with tubo-ovarian abscess or IUD use should be admitted for parenteral antibiotic therapy and observation. Laparotomy and extirpative surgery should be reserved for seriously ill patients with generalized peritonitis associated with rupture of a tubo-ovarian abscess and for patients who do not respond to antibiotic therapy. Sound judgment regarding the extent of extirpative surgery, taking into consideration the wishes of the patient with respect to future fertility and hormone production, will lead to an acceptable outcome.
Topics: Adolescent; Adult; Anti-Bacterial Agents; Diagnosis, Differential; Female; Humans; Laparoscopy; Pelvic Inflammatory Disease
PubMed: 1833838
DOI: 10.1016/s0039-6109(16)45527-1 -
Sexually Transmitted Diseases Mar 2008
Topics: Cost-Benefit Analysis; Female; Humans; Pain Measurement; Pelvic Inflammatory Disease; Pennsylvania; Quality of Life
PubMed: 18490872
DOI: 10.1097/OLQ.0b013e3181659284 -
International Journal of STD & AIDS Nov 1990
Topics: Anti-Bacterial Agents; Female; Humans; Pelvic Inflammatory Disease
PubMed: 2094401
DOI: 10.1177/095646249000100602 -
British Medical Journal Jun 1979
Topics: Female; Humans; Pelvic Inflammatory Disease; Salpingitis
PubMed: 466136
DOI: 10.1136/bmj.1.6178.1588 -
Medicine Oct 2023Pelvic inflammatory disease (PID) is an upper genital tract infection caused by a variety of aerobic and anaerobic microorganisms ascending from the cervix or vagina....
Pelvic inflammatory disease (PID) is an upper genital tract infection caused by a variety of aerobic and anaerobic microorganisms ascending from the cervix or vagina. Though PID is mainly a sexually transmitted disease; 15% are non-sexually transmitted.[1] In our study, we aim to assess gynecologists' understanding and awareness of PID; as it presents an important health issue affecting the Jordanian community and similar communities with the same cultural and religious backgrounds. A cross-sectional study was conducted using an online questionnaire that received responses from 172 gynecologists in Jordan. The questionnaire aimed at testing gynecologists' knowledge of different aspects of PID starting with diagnosis and ending with management. 68.6% of gynecologists acknowledged that PID is a problem in Jordan. However, obvious confusion was observed in the scopes of clinical presentation, choosing the most reliable PID investigations, and treatment. PID is not being addressed properly in a sexually conservative community that has low rates of sexually transmitted diseases like Jordan, which is misleading and dangerous. In addition, we think there is a lack of certain standards on how to define PID and acknowledge its effect on the community as well as the disappointing level of knowledge about different aspects of PID gynecologists show, starting with its prevalence and ending with treatment policy. Clearer guidelines for the diagnosis, management, and prevention of PID should be adopted. These findings should be acknowledged by all doctors from neighboring countries as well as those within similar communities to Jordan.
Topics: Female; Humans; Pelvic Inflammatory Disease; Cross-Sectional Studies; Jordan; Gynecologists; Sexually Transmitted Diseases
PubMed: 37800796
DOI: 10.1097/MD.0000000000035014 -
The Practitioner Mar 1993
Review
Topics: Female; Humans; Pelvic Inflammatory Disease; Recurrence
PubMed: 8351256
DOI: No ID Found