Pelvic Inflammatory Disease: An Evidence-Based Guideline
Journal Title: Interventions in Gynaecology and Women’s Healthcare - Year 2018, Vol 1, Issue 4
Abstract
A group of medical students and researchers from the Northeastern Region of Brazil produced this guideline, in order to provide doctors or health teams who work in the so-called Brazilian Primary Care Programs as well as those professionals working in the most remote interiors of the country. Guideline-based on current scientific evidence and adapted to the Brazilian reality, to help in the treatment and recovery of the health of women affected by the pelvic inflammatory disease, especially those young, adolescent patients with no access to information. Pelvic inflammatory disease (PID) refers to the acute infection of the upper genital tract structures in women, involving any of the following structures of the uterus, ovaries and fallopian tubes, or in an association. This pathology is often accompanied by involvement of pelvic organs neighbors [1-3]. By definition, the DIP is a community-acquired infection initiated by a sexually transmitted agent, distinguishing the pelvic infections caused by medical procedures, pregnancy, and another abdominal processes primary [4]. We reviewed the literature in PUBMED, SCOPUS, WEB OF SCIENCE and EMBASE, using the descriptors below keywords, selecting the main scientific evidence chosen by peers and oriented by professionals in the field, involving randomized clinical studies, systematic reviews, meta-analyses and the main guidelines found in literature over the last five years, for the construction of the present revision, which became the guideline based on scientific evidence and adapted the working conditions in the health of the professionals of the Northeast of Brazil. Most cases of PID are mild-to-moderate uncomplicated forms that can be treated as outpatients. Apart from Chlamydia trachomatis and Neisseria gonorrhoeae, other pathogens such as bacterial vaginosis and Mycoplasma genitalium associated bacteria are playing a significant role in PID and thus must be reckoned with. Moreover, gonococci have increasingly become resistant to the majority of antibiotics [5]. This has led to a universal recommendation to treat N. gonorrhoeae infections with ceftriaxone. The pelvic inflammatory disease is caused by the spread of organisms from the vagina and cervix to the upper genital tract. The patient may have a life-threatening illness or may remain asymptomatic [6,7]. The disease may be caused by sexually transmitted no sexually or organisms. Polymicrobial infections are the rule. Therapy requires antibiotic agents with broad coverage of aerobic and anaerobic organisms, including Chlamydia trachomatis and Neisseria gonorrhoeae [8].
Authors and Affiliations
Irami Araújo-Neto, Tarciso Bruno Montenegro Sampaio, Amàlia Cinthia Meneses do Rêgo
Keywords
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- EP ID EP571484
- DOI 10.32474/IGWHC.2018.01.000120
- Views 88
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