Medicus, Vol. 15 No. 2_UG infekcije, 2006.
Review article
Pelvic Inflammatory Disease
Deni Karelović
Lidija Pejković
Abstract
Pelvic Infl ammatory Disease (PID) is an infection
of the female upper genital tract and usually results from an
ascending infection of the lower genital tract. PID is commonly
caused by sexually transmitted micro-organisms N. gonorrhoeae
and C. trachomatis. It can include mucopurulent cervicitis,
endometritis, salpingitis, oophoritis, tubo-ovarian abscess, parametritis and pelvic peritonitis. PID is the most common cause of
infertility, chronic pelvic pain, and ectopic pregnancy. Empiric
treatment of PID should be initiated in sexually active young
women and other women at risk for STDs if they are experiencing
pelvic or lower abdominal pain, if no cause for the illness
other than PID can be identifi ed, and if one or more of the
following minimum criteria are present on pelvic examination:
cervical motion tenderness or uterine tenderness or adnexal
tenderness. Hospitalization is necessary for patients with tuboovarian
abscess and for those who are pregnant, severely ill and
unable to follow or tolerate an outpatient oral regimen. Patients
should also be hospitalized if a surgical emergency cannot be
excluded or if no clinical improvement occurs after three days.
Routine screening for chlamydial infection and bacterial vaginosis
can help prevent PID and its sequelas.
Keywords
pelvic infl ammatory disease; diagnostics; therapy; prevention
Hrčak ID:
18153
URI
Publication date:
29.12.2006.
Visits: 4.899 *