Is perlaparoscopic bacteriological analysis sufficient for establishing the etiology of P.I.D.?
The Authors have studied the usefulness and the limits of laparoscopy in the etiologic diagnosis of P.I.D.; for this purpose 21 patients affected with P.I.D. underwent microbiological sampling from cervix and/or vagina and from Fallopian tube during laparoscopy. The findings have shown a discrepancy between the microbiological isolation from vagina/endocervix and from salpinx and remarkably the loss of evidence of S.T.D. agents from tuba with, conversely, frequent isolation of these agents (34.7%) from cervical swabs. Therefore, the Authors believe that the percelioscopic microbiologic study of endosalpinx is essential for the correct etiologic diagnosis of P.I.D., especially in anaerobic germ infections; yet the technical problems of percelioscopic samples and the biological features of S.T.D. agents require the simultaneous bacteriological sampling from the cervix and/or vagina.
Marino
L
L
Università degli Studi di Pavia.
Montoli
S
S
Di Mario
M
M
Paganelli
A
A
Sampaolo
P
P
D000293:Adolescent; D000328:Adult; D001419:Bacteria / Q000302:isolation & purification; D001424:Bacterial Infections; D002584:Cervix Uteri / Q000382:microbiology; D005187:Fallopian Tubes / Q000382:microbiology; D005260:Female; D006801:Humans; D010535:Laparoscopy; D000292:Pelvic Inflammatory Disease / Q000209:etiology* / Q000382:microbiology; D014621:Vagina / Q000382:microbiology