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Acupoint Catgut Embedding for Treatment of Chronic Pelvic Pain Due to the Sequelae of Pelvic Inflammatory Disease
02:41

Acupoint Catgut Embedding for Treatment of Chronic Pelvic Pain Due to the Sequelae of Pelvic Inflammatory Disease

Published on: May 3, 2024

Pelvic inflammatory disease.

Jonathan D C Ross1

  • 1Whittall Street Clinic, Birmingham, UK.

BMJ Clinical Evidence
|May 20, 2009
PubMed
Summary
This summary is machine-generated.

This systematic review evaluates antibiotic treatments for pelvic inflammatory disease (PID) and antibiotic prophylaxis before intrauterine device (IUD) insertion. Evidence supports various antibiotic strategies for PID and IUD insertion, informing clinical practice.

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Area of Science:

  • Gynecology
  • Infectious Diseases
  • Pharmacology

Background:

  • Pelvic inflammatory disease (PID) is a significant upper female genital tract infection, often asymptomatic, leading to substantial hospital admissions in the USA.
  • PID affects nearly 2% of women aged 16-45 consulting GPs in England and Wales, highlighting its prevalence.

Purpose of the Study:

  • To systematically review the effectiveness and safety of antibiotic interventions for pelvic inflammatory disease.
  • To compare empirical treatment versus treatment guided by microbiological results.
  • To assess the efficacy of routine antibiotic prophylaxis prior to intrauterine device (IUD) insertion.

Main Methods:

  • A systematic review was conducted, searching major databases up to May 2007.
  • Included studies comprised systematic reviews, randomized controlled trials (RCTs), and observational studies.
  • Harms alerts from regulatory agencies (FDA, MHRA) were also incorporated.

Main Results:

  • Nine systematic reviews, RCTs, or observational studies met the inclusion criteria.
  • A GRADE evaluation assessed the quality of evidence for various interventions.
  • Information on antibiotic treatments (oral, parenteral, empirical, guided, duration, inpatient/outpatient) was synthesized.

Conclusions:

  • The review presents data on the effectiveness and safety of antibiotic treatments for PID.
  • It also covers the use of routine antibiotic prophylaxis before IUD insertion in different risk groups.
  • Findings inform clinical decisions regarding PID management and IUD insertion protocols.