Pelvic inflammatory disease in adolescents: high incidence and recurrence rates in an urban teen clinic

Kelly, Amy; Ireland, Marjorie; Aughey, David

doi:10.1016/j.jpag.2004.09.017

Cited by 11 publications

(4 citation statements)

References 24 publications

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“…This finding is consistent with others that have found older adolescent age to be associated with PID diagnosis. [17] Furthermore, Black race was found to be significantly associated with PID diagnosis. Other studies have reported PID rates to be two to three times higher among black women than among white women.…”

Section: Discussionmentioning

confidence: 99%

National Trends in Pelvic Inflammatory Disease Among Adolescents in the Emergency Department

Goyal¹,

Hersh²,

Luan³

et al. 2013

Journal of Adolescent Health

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Objective In 2002 the CDC broadened the pelvic inflammatory disease (PID) diagnostic criteria to increase detection and prevent serious sequelae of untreated PID. The impact of this change on PID detection is unknown. Our objective was to estimate trends in PID diagnosis among adolescent emergency department (ED) patients before and after the revised CDC definition and identify factors associated with PID diagnoses. Methods We performed a retrospective repeated cross-sectional study using the National Hospital Ambulatory Medical Care Survey from 2000–2009 of ED visits by 14 to 21 year old females. National estimates of PID rates were calculated. Multivariable logistic regression analyses and tests of trends were performed. Results During 2000–2009, of the 77 million female adolescent ED visits, there were an estimated 704,882 (95% CI 571,807, 837,957) cases of PID. Following the revised criteria, PID diagnosis declined from 5.4 cases per 1000 U.S. adolescent females to 3.9 cases per 1000 (p=0.03). In a multivariable model, age ≥17 years (OR 2.14, 95% CI 1.25, 3.64) and Black race (OR 2.04, 95% CI 1.36, 3.07) were associated with PID diagnosis Conclusions Despite broadened CDC diagnostic criteria, PID diagnoses did not increase over time. This raises concern about awareness and incorporation of the new guidelines into clinical practice.

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Section: Discussionmentioning

confidence: 99%

National Trends in Pelvic Inflammatory Disease Among Adolescents in the Emergency Department

Goyal¹,

Hersh²,

Luan³

et al. 2013

Journal of Adolescent Health

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“…3 Adolescents receiving this diagnosis in the ED are unlikely to have received adequate counseling regarding safer sexual practices, which is important given that repeated episodes of PID increase the risk of chronic pelvic pain and infertility, further increasing the importance of this follow-up appointment. 1,4,5 There were a myriad of reasons given for not attending a follow-up appointment including inadequate PCP availability, symptom improvement, and lack of understanding of importance of follow-up. The varied reasons for not following up are similar to other studies examining post-ED follow-up care.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Adequate treatment and prevention of repeated episodes reduces the risk of these sequelae. Therefore, the Centers for Disease Control (CDC) recommends follow-up within 72 hours of diagnosis of PID to ensure clinical improvement, review safe sexual practices, and reinforce the importance of partner treatment and medication compliance.…”

Section: Introductionmentioning

confidence: 99%

Improving Adolescent Pelvic Inflammatory Disease Follow-up From the Emergency Department: Randomized Controlled Trial With Text Messages

Wolff

Balamuth

Sampayo

et al. 2016

Annals of Emergency Medicine

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Background and Objectives CDC guidelines recommend follow-up within 72 hours of diagnosis of pelvic inflammatory disease (PID) because patients with inadequate treatment are at increased risk of acute and chronic complications. Follow-up rates in adolescents after diagnosis range between 10 to 16%. The primary objective was to assess the effect of text message (TM) reminders to adolescent patients diagnosed with PID on obtaining follow-up care within 72 hours of emergency department (ED) discharge. Methods Single-blinded, randomized controlled trial of adolescents diagnosed with PID in the ED. Patients received standard discharge instructions or standard discharge instructions plus TM reminders. Patients in the TM group received daily, tailored TM for 4 days with a reminder to schedule and attend PCP follow-up. The primary outcome was follow-up within 72 hours of ED discharge. Results 95 patients (48 standard; 47 TM) were randomized. 3 patients were excluded, leaving 92 patients (46 standard; 46 TM) for analysis. Baseline characteristics were similar between treatment groups. Follow-up was 15.2% in the standard group and 43.5% in the TM group. Patients receiving TM reminders were more likely to follow-up compared to the standard group (RR: 2.9; 95% CI 1.4–5.7). The absolute efficacy difference was 28.3% (95% CI 9.5–46.9) yielding NNT of 4 (95% CI 2.2–9.5). Conclusion Personalized TM reminders were efficacious in improving follow-up for adolescents after ED diagnosis of PID.

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“…Other reports indicate that genital C. trachomatis is the most common cause of acute salpingitis, and that perhaps 25% of women with the acute disease become infertile (Guaschino and De Seta, 2000). Disturbingly, the incidence of new cases of PID and other reproductive problems due to genital chlamydial infection is high among urban young women in the US (e.g., Kelly et al, 2004) and in Europe (e.g., Grio et al, 2004).…”

Section: Sequelae To C Trachomatis and C Pneumoniae Infectionsmentioning

confidence: 99%

Human chlamydial infections: persistence, prevalence, and outlook for the future

Whittum-Hudson

Hudson

2005

Nat. Sci. Soc.

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Impressionnés par l'émergence de nouvelles maladies, nous oublions les agents pathogènes déjà installés. Pourtant, certains d'entre eux causent toujours misère et souffrance à des millions de personnes, et constituent des entraves majeures au développement. Cet article nous rappelle que les Chlamydia sont responsables de cécités, de stérilités, de maladies vasculaires, articulaires ou respiratoires.. . Il nous apprend que les avancées récentes de la connaissance biologique offrent à nos sociétés de nouvelles perspectives pour comprendre et alléger le fardeau imposé par nos pathogènes.

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Pelvic inflammatory disease in adolescents: high incidence and recurrence rates in an urban teen clinic

Cited by 11 publications

References 24 publications

National Trends in Pelvic Inflammatory Disease Among Adolescents in the Emergency Department

National Trends in Pelvic Inflammatory Disease Among Adolescents in the Emergency Department

Improving Adolescent Pelvic Inflammatory Disease Follow-up From the Emergency Department: Randomized Controlled Trial With Text Messages

Human chlamydial infections: persistence, prevalence, and outlook for the future

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