Pelvic Inflammatory Disease: An Evidence-Based Guideline
Journal Title: Interventions in Gynaecology and Women’s Healthcare - Year 2018, Vol 1, Issue 4
Abstract
A group of medical students and researchers from the Northeastern Region of Brazil produced this guideline, in order to provide doctors or health teams who work in the so-called Brazilian Primary Care Programs as well as those professionals working in the most remote interiors of the country. Guideline-based on current scientific evidence and adapted to the Brazilian reality, to help in the treatment and recovery of the health of women affected by the pelvic inflammatory disease, especially those young, adolescent patients with no access to information. Pelvic inflammatory disease (PID) refers to the acute infection of the upper genital tract structures in women, involving any of the following structures of the uterus, ovaries and fallopian tubes, or in an association. This pathology is often accompanied by involvement of pelvic organs neighbors [1-3]. By definition, the DIP is a community-acquired infection initiated by a sexually transmitted agent, distinguishing the pelvic infections caused by medical procedures, pregnancy, and another abdominal processes primary [4]. We reviewed the literature in PUBMED, SCOPUS, WEB OF SCIENCE and EMBASE, using the descriptors below keywords, selecting the main scientific evidence chosen by peers and oriented by professionals in the field, involving randomized clinical studies, systematic reviews, meta-analyses and the main guidelines found in literature over the last five years, for the construction of the present revision, which became the guideline based on scientific evidence and adapted the working conditions in the health of the professionals of the Northeast of Brazil. Most cases of PID are mild-to-moderate uncomplicated forms that can be treated as outpatients. Apart from Chlamydia trachomatis and Neisseria gonorrhoeae, other pathogens such as bacterial vaginosis and Mycoplasma genitalium associated bacteria are playing a significant role in PID and thus must be reckoned with. Moreover, gonococci have increasingly become resistant to the majority of antibiotics [5]. This has led to a universal recommendation to treat N. gonorrhoeae infections with ceftriaxone. The pelvic inflammatory disease is caused by the spread of organisms from the vagina and cervix to the upper genital tract. The patient may have a life-threatening illness or may remain asymptomatic [6,7]. The disease may be caused by sexually transmitted no sexually or organisms. Polymicrobial infections are the rule. Therapy requires antibiotic agents with broad coverage of aerobic and anaerobic organisms, including Chlamydia trachomatis and Neisseria gonorrhoeae [8].
Authors and Affiliations
Irami Araújo-Neto, Tarciso Bruno Montenegro Sampaio, Amàlia Cinthia Meneses do Rêgo
Keywords
Related Articles
- EP ID EP571484
- DOI 10.32474/IGWHC.2018.01.000120
- Views 92
- Downloads 0
Associated Factors with Sexual Assaults in A Gynaecology Emergency Department
Objective: To study associated factors with sexual assaults suffered by patients attended in the Gynaecology Emergency Department in Miguel Servet University Maternity Hospital. Methods: Descriptive cross-sectional stud...
Possible Role of Inadequate Quantities of Intra-Thyroidal Bromine, Calcium and Magnesium in the Etiology of Female Subclinical Hypothyroidism
Objective: Subclinical hypothyroidism does affect fertility. The prevalence of subclinical hypothyroidism is 10-15 times more common in women than in men. Many chemical elements play important role in thyroid function an...
Attitudes of Married Women with Advanced Maternal Age and their Spouses Towards Family Planning and Evaluation of the Effects of Trainings related to This Issue
Purpose: In this study, we aimed to evaluate the attitudes of married women with advanced maternal age and their spouses towards family planning and to assess the effects of training related to this issue. Design: The s...
Immunotherapy in Ovarian Cancer
Ovarian cancer ranks fifth with a 5-year survival of 40% for patients with advanced disease and remains the most lethal gynecologic malignancy among women [1]. Most patients with advanced disease undergo aggressive front...
Evaluation of Renal Rehabilitation Program for Cadaveric Renal Transplant Recipient- A Single Case Report
To report a clinical case of Cadaveric renal transplant recipient 30 year old male reported to SRM Physiotherapy Department presented with complaints of difficulty in breathing, sitting, standing and independently walkin...