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Taira T, Broussard N, Bugg C. Pelvic inflammatory disease: diagnosis and treatment in the emergency department. Emerg Med Pract 2022; 24:1-24. [PMID: 36378827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Accepted: 09/10/2022] [Indexed: 06/16/2023]
Abstract
Pelvic inflammatory disease is associated with complications that include infertility, chronic pelvic pain, ruptured tubo-ovarian abscess, and ectopic pregnancy. The diagnosis may be delayed when the presentation has nonspecific signs and symptoms. Even when properly diagnosed, pelvic inflammatory disease is often treated suboptimally. This review provides evidence-based recommendations for the diagnosis, treatment, disposition, and follow-up of patients with pelvic inflammatory disease. Arranging follow-up of patients within 48 to 72 hours and providing clear patient education are fundamental to ensuring good patient outcomes. Emerging issues, including new pathogens and\ evolving resistance patterns among pelvic inflammatory disease pathogens, are reviewed.
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Affiliation(s)
- Taku Taira
- Associate Professor of Clinical EmergencyMedicine, LAC+USC Department of Emergency Medicine, Keck School of Medicine, Los Angeles, CA
| | - Nolan Broussard
- Resident Physician, Emergency Medicine, University of Chicago, Chicago, IL
| | - Charles Bugg
- Emergency Physician, Department of Medicine, Huntington Hospital, Pasadena, CA
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Affiliation(s)
- R Matsuoka
- Department of Obstetrics and Gynecology, Odaira Memorial Tokyo Hitachi Hospital
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Affiliation(s)
- H Suzuki
- School of Medicine, University of Occupational Environmental Health, Japan
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