Diagnosing PID--getting the balance right.

Abstract:

:The objective of the study was to determine the clinical manifestations and diagnostic criteria used to diagnose presumptive pelvic inflammatory disease (PID) at the Sydney Sexual Health Centre (SSHC). The study was a retrospective, case-note review of all women diagnosed with presumptive PID between April 1991 and December 1997. Seven hundred and thirteen women were included. The commonest recorded symptoms were vaginal discharge (68%), lower abdominal pain (65%) and dyspareunia (57%), while adnexal tenderness (83%), cervical motion tenderness (75%) and cervicitis (56%) were the most frequently recorded examination findings. Sixty-two per cent were prescribed doxycycline and metronidazole. The recording of signs and symptoms in women with presumptive PID was poor and only 22% met the current Centers for Disease Control (CDC) diagnostic criteria. It is likely that PID is over diagnosed in this group of women. This may lead to under diagnosis of other conditions causing pelvic pain and may be detrimental to reproductive health.

journal_name

Int J STD AIDS

authors

Marks C,Tideman RL,Estcourt CS,Smart S,Page J,Wagner K,Mindel A

doi

10.1258/0956462001916290

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

545-7

issue

8

eissn

0956-4624

issn

1758-1052

journal_volume

11

pub_type

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