Impact of new diagnostic criteria on the prevalence and incidence of pelvic inflammatory disease

Trends in Illness Severity and Length of Stay in Inner-city Adolescents Hospitalized for Pelvic Inflammatory Disease

“…5,23,24 The results of this study provide reassurance that when they are eventually hospitalized, adolescents who fail outpatient therapy are not sicker than those hospitalized at the time of diagnosis and do not have prolonged hospital stays. This should increase our confidence that the cost savings associated with outpatient management of PID in adolescents are not at the expense of a higher burden of illness in this vulnerable population.…”

“…The Centers for Disease Control and Prevention (CDC) has developed a list of additional criteria beyond the basic signs of lower abdominal, cervical motion, and adnexal tenderness that can be used to support the diagnosis of PID. 2,[4][5][6][7][8][9] Additional criteria include: elevated oral temperature, erythrocyte sedimentation rate, C-reactive protein level, or white blood cell count; abnormal cervical or vaginal discharge; and laboratory documentation of infection with Neisseria gonorrhea or Chlamydia trachomatis. CDC criteria for inpatient admission for PID include suspected tubo-ovarian abscess (TOA), failure of outpatient therapy (inadequate clinical response to 48 hours of treatment) and, until January 1998, being an ''adolescent.…”

Incidence of Fitz-Hugh–Curtis Syndrome in Adolescents Who Have Pelvic Inflammatory Disease

“…Their PID risk is high. 7 Adolescents with lower abdominal pain on or after admission received a pelvic examination by one of three experienced examiners. From April 2000 until February 2002, the diagnosis of PID required the presence of lower abdominal, adnexal, and cervical motion tenderness.…”

Side Effects of Doxycycline in Adolescents Treated for Pelvic Inflammatory Disease

“…2 We used the diagnostic criteria and outpatient antibiotic regimen for PID recommended by the CDC. 1 We gave 250 mg ceftriaxone intramuscularly once, and, if the patients were not pregnant, vomiting, or ill enough to also require metronidazole, we prescribed doxycycline, 100 mg twice a day for 14 days.…”