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Published on: December 21, 2012

Nongonococcal pelvic inflammatory disease

D A Grimes

    Clinical Obstetrics and Gynecology
    |December 1, 1981
    PubMed

    Insights

    Nongonococcal pelvic inflammatory disease (PID) is a significant gynecological issue. Research implicates various bacteria, Chlamydia trachomatis, and mycoplasmas, with tetracycline showing effectiveness in treatment.

    Area of Science:

    • Gynecology
    • Infectious Diseases
    • Public Health

    Background:

    • Nongonococcal pelvic inflammatory disease (PID) is a major gynecological concern and public health issue.
    • The exact causes of acute PID are debated, but implicated pathogens include anaerobic and aerobic bacteria, Chlamydia trachomatis, and mycoplasmas.
    • Actinomycotic PID is specifically linked to intrauterine device (IUD) usage.

    Purpose of the Study:

    • To review the current understanding of nongonococcal PID.
    • To discuss the implicated etiologic agents and treatment options.
    • To highlight the complications and future research directions for nongonococcal PID.

    Main Methods:

    • Literature review of studies on nongonococcal PID.
    • Analysis of implicated microorganisms in PID etiology.
    • Evaluation of treatment efficacies and complications.

    Main Results:

    • Tetracycline and its derivatives demonstrate efficacy against a wide range of nongonococcal organisms.
    • Abscesses and infertility are identified as severe complications of nongonococcal PID.
    • The polymicrobial nature of acute PID challenges traditional etiological concepts.

    Conclusions:

    • Further research is needed to fully elucidate the epidemiology, optimal treatment, and prevention strategies for nongonococcal PID.
    • Understanding the polymicrobial etiology is crucial for managing acute PID.
    • Effective treatment options, such as tetracyclines, exist for the broad spectrum of causative agents.
    Keywords:
    Adnexitis--complicationsAdnexitis--etiologyAnimals, LaboratoryDiseasesEconomic FactorsExaminations And DiagnosesIncidenceInfectionsLiterature ReviewMeasurementPelvic InfectionsPelvic Inflammatory DiseaseReproductive Tract InfectionsResearch And DevelopmentResearch MethodologySexually Transmitted DiseasesTechnologyTreatment

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