Pelvic inflammatory disease Flashcards
(11 cards)
What is pelvic inflammatory disease (PID)?
Infection of the upper genital tract, including the uterus, fallopian tubes, and ovaries.
Who is most commonly affected by PID?
Sexually active young women.
What are common causes of PID?
Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, and mixed infections including normal vaginal flora and other pathogens.
What complications can PID cause?
Ectopic pregnancy, tubal infertility, chronic pelvic pain, and tubo-ovarian abscess.
What are common symptoms of PID?
Pelvic pain, deep dyspareunia, secondary dysmenorrhoea, abnormal bleeding or discharge, systemic symptoms.
What investigations should be arranged for suspected PID?
Pregnancy test, STI swabs, inflammatory markers, and HIV/syphilis serology.
When should antibiotic treatment for PID be started?
As soon as a working diagnosis is made, before test results are available.
What is advised regarding sexual activity during PID treatment?
Abstain until both patient and partner(s) have completed treatment, are symptom-free, and (if needed) test of cure is completed.
What should be done if an IUD is in situ in a woman with PID?
If mild-to-moderate symptoms improve in 48–72 hours, it can stay. If symptoms are severe or not improving, remove it.
What is the first-line antibiotic regimen for suspected PID (regardless of gonorrhoea risk)?
Ceftriaxone 1 g IM once, then doxycycline 100 mg BD + metronidazole 400 mg BD for 14 days.
What is an alternative PID regimen if all other antibiotics are contraindicated?
Ceftriaxone 1 g IM once, followed by azithromycin 1 g per week for 2 weeks.
