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Dx Bacterial Pelvic Inflammatory Disease (P.I.D.) Treatment: Read More...


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Observation:
Bacterial Pelvic Inflammatory Disease:

The Merck Manual Home Edition states:
"Pelvic inflammatory disease is an infection of the upper female reproductive organs. The infection is usually transmitted during sexual intercourse with an infected partner.Typically, women have pain in the lower abdomen, a vaginal discharge, and irregular vaginal bleeding. The diagnosis is based on symptoms, analysis of secretions from the cervix and vagina, and sometimes ultrasonography. Having sexual intercourse with only one partner and using barrier contraceptives (such as condoms) with spermicides reduces the risk of infection. Antibiotics can eliminate the infection. Pelvic inflammatory disease may be an infection of the lining of the uterus (endometritis), the fallopian tubes (salpingitis), or both. If the infection is severe, it can spread to the ovaries (oophoritis) or produce a collection of pus in the fallopian tubes (tubo-ovarian abscess).

Pelvic inflammatory disease is the most common preventable cause of infertility in the United States. Infertility occurs in about one of five women with pelvic inflammatory disease."

Subcategories of Medications Include:
CDC Regimen 'A': Cefotetan® 2 g IV every 12 hours
CDC Regimen 'B': Clindamycin 900 mg IV every 8 hours PLUS Gentamicin loading dose IV or IM (2 mg/kg of body weight), followed by a maintenance dose (1.5 mg/kg) every 8 hours. Single daily dosing (3–5 mg/kg) can be substituted.


Suggested Links:
*N.H.S. Choices
*Medscape

The Center for Disease Control recommends yearly chlamydia testing of all sexually active women age 25 or younger, older women with risk factors (new partners or multiple sex partners) and all pregnant women...Treating STDS early can prevent PID. Women who are told they have an STD and are treated for it should notify all of their recent sex partners.."

*[Editor]  The US. Preventative Service Task force site encourages pap smear testing for chlamydia, gonorrhea and HPV virus as well as blood assays for STDs of gonorrhea, syphilis and HIV. There are links for additional information on  ordering these laboratory tests, their codes, costs and how to get the information to your physician.

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