Adolescent and adult females with pelvic inflammatory disease in an ambulatory setting.
A retrospective chart review was conducted of all patients with pelvic inflammatory disease (PID) during 1980 at an inner-city neighborhood health center. The presenting clinical features, laboratory results, management, and recurrences within a 6-18 month follow-up were analyzed. PID was diagnosed in 264 patients, 60 (23%) of whom were less than 21 years old. Pelvic organ tenderness was present in all patients. Three percent had an elevated white blood cell count and/or erythrocyte sedimentation rate. Four percent were hospitalized. Ten percent had positive endocervical cultures for N. gonorrhoeae. Six percent of the records included treatment plans for the male contact. Twenty-seven percent had a recurrence of PID. The lack of criteria for diagnosing PID and the inconsistencies in its management are discussed. Recommendations for the management of cervicitis and male contacts are presented.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000553:Ambulatory Care; D000667:Ampicillin / Q000008:administration & dosage; D004917:Erythromycin / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D006069:Gonorrhea / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D006801:Humans; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D009518:New York; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D012008:Recurrence; D013752:Tetracycline / Q000008:administration & dosage
D004917:Erythromycin; D000667:Ampicillin; D013752:Tetracycline