Pelvic Inflammatory Disease: Current notions

Pelvic inflammatory disease (PID) is the clinical syndrome represents inflammation of the female,cervix,endometrium,fallopiantubes,pelvicstructure,salpingitis,pelvic peritonitis and tub ovarian abscess.PID results from the spread of Neisseria gonorrhoeae, Chlamydial trachomatis, anaerobes, Haemophilusinfluenza,G.vaginalis,Streptococcuspyogenes,gramnegative bacteria, and others. PID sequelae include: ectopic pregnancy, infertility, tubo-ovarian abscess, dyspareunia, chronic pelvic pain, premature rupture of membranes, preterm, delivery, and amnionitis. Most PID patients are treated as outpatients hospitalization for very ill patients and those meet hospitalization criteria. CDC guidelines for antibiotic treatment of PID patients are useful. Fluoroquinilones alone are no longer recommended due to emergence of resistant N.gonorrhoeae.Screening for cervical chlamydia and gonorrhea infection can prevent PID.