Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
|Section 11. Obstetrics and Gynecology >|
Chapter 107. Pelvic Inflammatory Disease
Sections: Epidemiology, Pathophysiology, Clinical Features, Treatment, Disposition and Follow-Up, Special Populations, Prevention, References.
Topics Discussed: pelvic inflammatory disease.
Excerpt:"Pelvic inflammatory disease (PID) comprises a spectrum of infections
of the female upper reproductive tract. It is a common and serious
disease initiated by ascending infection from the cervix and vagina.
PID includes salpingitis, endometritis, myometritis, parametritis,
oophoritis, and tubo-ovarian abscess and may extend to produce pelvic
peritonitis and perihepatitis (Fitz-HughCurtis syndrome). Worldwide,
it is difficult to estimate the incidence and prevalence of PID
due to difficulties experienced in access to care, lack of diagnostics
and laboratory facilities, and underfunding and overstretching of
public health services. Although no specific data are available
for PID incidence, the World Health Organization in 1999 (most recent
available data) estimated that 340 million new cases of curable
sexually transmitted infections occur annually throughout the world
in adults aged 15 to 49 years, most commonly in sub-Saharan Africa
and Southeast Asia. Women in resource-poor countries experience
an increased rate of complications and long-term sequelae. Worldwide,
sexually transmitted infections rank in the top five disease categories for
which adults seek care (http://www.who.org
and http://www.who.int/mediacentre/factsheets/fs110/en/). The
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