RT Book, Section
A1 Hankin, Abigail D.
A2 Cydulka, Rita K.
A2 Fitch, Michael T.
A2 Joing, Scott A.
A2 Wang, Vincent J.
A2 Cline, David M.
A2 Ma, O. John
SR Print(0)
ID 1143141304
T1 Pelvic Inflammatory Disease
T2 Tintinalli's Emergency Medicine Manual, 8e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071837026
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1143141304
RD 2024/04/24
AB Pelvic  inflammatory  disease  (PID)  comprises  a  spectrum  of  infections  of  the  female  upper  reproductive  tract,  including  endometritis,  salpingitis,  tubo-ovarian  abscess,  and  pelvic  peritonitis.  Neisseria  gonorrhoeae  and  Chlamydiatrachomatis  are  frequently  isolated  pathogens;  however,  many  other  microorganisms  have  been  associated  with  PID,  including  vaginal  flora,  gram-negative  rods,  streptococci,  and  mycoplasmas.  Risk  factors  for  PID  include  age  (teenagers  are  at  greatest  risk),  multiple  sexual  partners,  a  new  sexual  partner  within  the  past  30  days,  presence  of  other  sexually  transmitted  diseases,  and  intrauterine  device  insertion  within  the  prior  3  weeks.  PID  occurs  less  commonly  in  pregnancy,  but  is  associated  with  increased  maternal  morbidity  and  preterm  labor.  Complications  of  PID  include  significantly  increased  risk  for  ectopic  pregnancy,  infertility,  and  chronic  pain,  even  after  only  a  single  episode  of  PID.