Purulent vaginal and cervical discharge in the diagnosis of pelvic inflammatory disease.

Abstract:

:In this structured review, we evaluated purulent vaginal and cervical discharge as diagnostic tests for pelvic inflammatory disease (PID). Using a pretest probability of PID (diagnosed clinically) of 50%, we used the odds-likelihood formulation of Bayes' theorem to calculate post-test probabilities of PID (proven by laparoscopy or endometrial biopsy). If abnormal discharge was present, the post-test probabilities of PID ranged from 50% to 73%, with a mean value of 57%. If abnormal discharge was absent, the post-test probabilities ranged from 24% to 52%, with a mean value of 39%. Therefore, the presence or absence of excess white blood cells in vaginal or cervical discharge was not particularly helpful in confirming or excluding PID in patients in whom the diagnosis was suspected from the clinical examination.

journal_name

Int J STD AIDS

authors

Risser JM,Risser WL

doi

10.1258/ijsa.2008.008261

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

73-6

issue

2

eissn

0956-4624

issn

1758-1052

pii

20/2/73

journal_volume

20

pub_type

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