title: [Results following an action protocol in patients with severe pelvic inflammatory disease].
abstract: BACKGROUND
  Pelvic inflammatory disease is manifested by a broad spectrum of genital tract infections that include: endometritis, salpingitis, tubo-ovarian abscess, and pelvic peritonitis. This disease is associated with evidence of inflammation of the lower genital tract.
  
  
  OBJECTIVE
  To evaluate the subgroup of patients with a diagnosis of acute pelvic inflammatory disease requiring hospitalization after implementation of the protocol for action in the patient with suspected pelvic inflammatory disease.
  
  
  METHODS
  Retrospective analysis conducted between January and December 2011 in a cohort of patients diagnosed with severe pelvic inflammatory disease after implementation of a hospital protocol for suspected patients with this condition. Patients who met the diagnostic criteria of Centers for Disease Control and Prevention (CDC) and required hospitalization were considered with severe pelvic inflammatory disease. In all cases the same complementary tests were conducted and the same antibiotic protocol was prescribed.
  
  
  RESULTS
  We included 38 patients and found a statistically significant relationship between the IUD and mixed gram-negative flora etiologic agent (p < 0.05). There was a negative correlation (Pearson correlation coefficient -0.334) between elevated leukocyte at the time of admission and the need for surgery.
  
  
  CONCLUSIONS
  In cases of severe pelvic inflammatory disease IUD is associated with gram-negative mixed flora infection. The normal or moderately elevated concentrations of leukocytes were correlated with failure of medical treatment.
authors.affiliation: Servicio de Obstetricia y Ginecología, Hospital Universitario La Paz, Madrid, España. danielabehsera@hotmail.com
authors.forename: Daniel
authors.initials: D
authors.lastname: Abehsera-Davó
authors.forename: Mariana
authors.initials: M
authors.lastname: Panal-Cusati
authors.forename: Margarita
authors.initials: M
authors.lastname: Sánchez-Pastor
authors.forename: Mária
authors.initials: M
authors.lastname: Herrera de la Muela
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: de Santiago-García
mesh_terms: D000328:Adult; D002985:Clinical Protocols; D005260:Female; D006801:Humans; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis* / Q000628:therapy*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome