Prevalence and Incidence of Pelvic Inflammatory Disease in Incarcerated Adolescents

Abstract

The high prevalence and incidence of PID underscore the need for effective programs to eradicate chlamydial and gonorrheal infections in high-risk youths.

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

“…Table 2 compares the prevalence of PID in this study and the previous study that used the old diagnostic criteria. 1 In the new study, the prevalence was higher in all groups. These differences in prevalence between the new and the old study were statistically significant for all youth and sexually active youth but not for sexually active youth who had chlamydia and/or gonorrhea.…”

“…These data were similar to those for youth in the initial study. 1 No incident case of PID occurred after day 16 of incarceration. All identified cases of gonorrheal or chlamydial infection identified in subjects who did not have PID were treated by day 31.…”

“…1 We evaluated all female adolescents who were admitted to the Harris County (Houston, Texas) Juvenile Detention Center between March 1, 2002, andFebruary 1, 2003. All females received urine chlamydia screening (Gen-Probe Amplified Chlamydia trachomatis Assay).…”

“…We found in previous research that the prevalence of chlamydia infection in this population is approximately 25%. 1,4 Adolescents who complained of lower abdominal pain either on or after admission had a pelvic examination by one of two experienced clinicians (the same ones who examined patients in the previous study) to assess for possible PID. If these examiners made a diagnosis of PID, the patients received, in addition to urine chlamydia screening, a cervical test for gonorrhea and chlamydia (Gen-Probe Pace 2C and Pace 2 Assays), as well as saline and potassium hydroxide wet preparations of vaginal mucus, a pregnancy test, urine culture, complete blood count with differential, erythrocyte sedimentation rate, HIV test, and RPR.…”

Color Doppler sonography of ovarian arteries as a tool in the differential diagnosis of pelvic inflammatory disease and appendicitis

“…It is the most frequent cause of hospitalization among reproductive-age women and leads to infertility in about 30% of cases and ectopic pregnancies in 50% [1][2][3]. PID includes all the acute or chronic inflammations of the salpinx, ovaries, and, often, the nearby organs.…”