Document Detail

Pelvic inflammatory disease.
MedLine Citation:
PMID:  1835659     Owner:  NLM     Status:  MEDLINE    
Two studies compared and showed equal efficacy of the two intravenous treatment regimens recommended by the Centers for Disease Control: cefoxitin plus doxycycline and aminoglycoside plus clindamycin. The increased risk of pelvic inflammatory disease (PID) among users of an intrauterine device was confirmed in a reanalysis of the Oxford Family Planning Study. However, a prospective study showed that prophylactic, single-dose oral doxycycline significantly reduced the risk of post-insertion gonococcal, but not chlamydial, PID. According to Canadian investigators, laparoscopy is not very specific for PID diagnosis when tubal and endometrial histopathology is used as the gold standard. Two studies showed that vaginal douching is significantly associated with PID and with ectopic pregnancy. The risk of PID increased with frequency of douching. Data from the Women's Health Study suggest increased risk of PID among cigarette smokers. However, the risk of PID was unrelated to the number of cigarettes smoked.
P Wølner-Hanssen
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in obstetrics & gynecology     Volume:  3     ISSN:  1040-872X     ISO Abbreviation:  Curr. Opin. Obstet. Gynecol.     Publication Date:  1991 Oct 
Date Detail:
Created Date:  1992-01-07     Completed Date:  1992-01-07     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9007264     Medline TA:  Curr Opin Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  687-91     Citation Subset:  IM    
University of Lund, Sweden.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Biopsy / standards
Intrauterine Devices / adverse effects
Irrigation / adverse effects
Laparoscopy / standards
Pelvic Inflammatory Disease* / diagnosis,  drug therapy,  epidemiology
Pregnancy, Ectopic / epidemiology
Risk Factors
Sensitivity and Specificity
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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