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Pelvic inflammatory disease: a contemporary approach

G R Newkirk

    American Family Physician
    |March 1, 1996
    PubMed
    Summary

    Pelvic inflammatory disease (PID) affects 1 in 10 women, causing significant costs and potential infertility. Early diagnosis and treatment, including partner management, are crucial to reduce long-term complications.

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    Area of Science:

    • Gynecology
    • Infectious Diseases
    • Public Health

    Background:

    • Pelvic inflammatory disease (PID) is a common ascending polymicrobial infection in reproductive-aged women.
    • It affects 1 in 10 women in the US, incurring over $5 billion annually in medical costs.
    • PID often leads to serious sequelae, including infertility, ectopic pregnancy, and chronic pelvic pain.

    Purpose of the Study:

    • To review the diagnosis and management of Pelvic inflammatory disease (PID).
    • To highlight the importance of early recognition and treatment in preventing sequelae.
    • To emphasize the role of family physicians in managing PID.

    Main Methods:

    • Review of current literature and guidelines.
    • Discussion of clinical presentation, diagnosis, and treatment strategies.
    • Emphasis on empiric antibiotic therapy and follow-up.

    Main Results:

    • Diagnosis of PID requires a high index of suspicion due to non-specific symptoms.
    • Revised CDC guidelines recommend broad-spectrum antibiotics initiated before culture results.
    • Hospitalization indications are now more liberal.

    Conclusions:

    • Prompt recognition and treatment of PID, alongside partner management, reduce the risk of sequelae.
    • Patient compliance and appropriate therapy are essential for favorable outcomes.
    • Family physicians play a vital role in effective PID management.

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