Acute Pelvic Inflammatory Disease and Its Long – Term Sequelae: The University of Port Harcourt Experience

Howells, Ikobho Ebenezer; Okwudili, Emmanuel

doi:10.9734/jammr/2018/41437

Cited by 2 publications

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“…[ 4 ] In England, up to 75,000 women are diagnosed with PID annually, a third of which are young women aged 16 to 24. [ 5 ] The majority of PID cases (85%) are caused by sexually transmitted pathogens or bacterial vaginosis-associated pathogens. Fifteen percent of acute PID cases are not sexually transmitted but are caused by bacteria colonizing the lower genital tract.…”

Section: Introductionmentioning

confidence: 99%

Gynecologists and pelvic inflammatory disease: do we actually know what to do?: A cross-sectional study in Jordan

Al-Kuran,

AL-Mehaisen,

Al-Karablieh

et al. 2023

Medicine

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Pelvic inflammatory disease (PID) is an upper genital tract infection caused by a variety of aerobic and anaerobic microorganisms ascending from the cervix or vagina. Though PID is mainly a sexually transmitted disease; 15% are non-sexually transmitted.[1] In our study, we aim to assess gynecologists’ understanding and awareness of PID; as it presents an important health issue affecting the Jordanian community and similar communities with the same cultural and religious backgrounds. A cross-sectional study was conducted using an online questionnaire that received responses from 172 gynecologists in Jordan. The questionnaire aimed at testing gynecologists’ knowledge of different aspects of PID starting with diagnosis and ending with management. 68.6% of gynecologists acknowledged that PID is a problem in Jordan. However, obvious confusion was observed in the scopes of clinical presentation, choosing the most reliable PID investigations, and treatment. PID is not being addressed properly in a sexually conservative community that has low rates of sexually transmitted diseases like Jordan, which is misleading and dangerous. In addition, we think there is a lack of certain standards on how to define PID and acknowledge its effect on the community as well as the disappointing level of knowledge about different aspects of PID gynecologists show, starting with its prevalence and ending with treatment policy. Clearer guidelines for the diagnosis, management, and prevention of PID should be adopted. These findings should be acknowledged by all doctors from neighboring countries as well as those within similar communities to Jordan.

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Section: Introductionmentioning

confidence: 99%

Gynecologists and pelvic inflammatory disease: do we actually know what to do?: A cross-sectional study in Jordan

Al-Kuran,

AL-Mehaisen,

Al-Karablieh

et al. 2023

Medicine

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Clincial Presentation and Ultrasonographic Markers of Pid

Jain¹,

Jain

Gupta³

2021

Global Journal for Research Analysis

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INTRODUCTION: Pelvic inammatory disease (PID) comprises a spectrum of inammatory disorders of the upper female genital tract, including any combination of endometritis, salpingitis, Tubo-ovarian abscess, and pelvic peritonitis. The CDC has estimated that more than I Million women experience an episode of PID every year. Studies have reported prevalence ranging from 5.2% to 17.2% PID in various parts of India. Ultrasound:- TAS was initially used followed by use of TVS with Doppler in diagnosis of PID, although there are no large studies evaluating its sensitivity and or overall usefulness. Itis a frequentlyordered study in patients with classic symptoms of PID or who have unexplained, acute pelvic pain. MATERIAL AND METHODS:A retrospective analysis of medical records of patients with a complaint of lower abdominal pain was included in the study. Diagnosis of PID was made and patient was followed in the outdoor clinic. Pelvic examination was made. USG was done. According to symptoms and clinical examination for PID patients, the data was recorded. Medical record of 120 patients from 1 January 2020 to 31 May 2021 from a private clinic in Dist. Shivpuri were studied. RESULTS: In our study out of 120 cases, most of the patients 50.83% belonged to 26-30 years of age, a maximum number of patients were rural 83.33%. Most of the patients were educated below HSC 56.66%. Most of them 85% were married and most of them were multipara 56.66%. The most common presenting complaint was a pain in the abdomen (100%), followed by per vaginal discharge (65%), pain in the lower back (43.33%), abnormal uterine bleeding (40%), dysmenorrhoea (31.66%), dyspareunia (24.16), fever (17.5%) and others. On clinical examination abnormal PV discharge was present in 61.66% of cases, xed and retroverted uterus with or without thickend appendages were found in 55% of cases. Cervical motion tenderness was found in 78.33% of cases. Adnexal tenderness was found in 80% of cases but adnexal mass was found in 10.83% of cases. The most common nding on ultrasound scan was uid in the pouch of douglas 48.33%, followed by distal hydrosalphinx 28.33%, endometritis 18.33%, pyosalpinx 15%, TO Mass 13.33% and Pelvic collection in 10.83% of cases. CONCLUSION:The focus of this study was to identied socio-demographic characteristics of PID, to see the variety of presenting complaints and pelvic examination ndings and to correlate the clinical ndings with the USG ndings of PID. Much studies about the sensitivity & specicity of USG are not available, but this is denitely the most frequently ordered investigation in cases of PID. Transabdominal ndings of 'incomplete septa' 'cog wheel' 'beads on a strings' signs helps in distinguishing a dilated fallopian tube from other cystic adnexal masses To prevent long term sequelae PID should be the part of differential diagnosis in all patients aged 15-44 year with non specic abdominal pain.

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Acute Pelvic Inflammatory Disease and Its Long – Term Sequelae: The University of Port Harcourt Experience

Cited by 2 publications

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Gynecologists and pelvic inflammatory disease: do we actually know what to do?: A cross-sectional study in Jordan

Gynecologists and pelvic inflammatory disease: do we actually know what to do?: A cross-sectional study in Jordan

Clincial Presentation and Ultrasonographic Markers of Pid

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