| Treatment strategies for pelvic inflammatory disease. | |
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MedLine Citation:
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PMID: 19351231 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Pelvic inflammatory disease (PID) is one of the most common infections seen in nonpregnant reproductive-age women. It is a major public health problem associated with substantial medical complications (e.g., infertility, ectopic pregnancy, and chronic pelvic pain) and healthcare costs. Prevention of these long-term sequelae requires treatment strategies that are based on the microbiologic etiology of acute PID. Objective: To determine appropriate antimicrobial regimens for the treatment of acute PID based on published literature. METHODS: Clinical trials published since 2002 were assessed conducting a systematic search of the literature on the treatment of acute PID using PubMed (National Library of Congress). The search was limited to articles written in English and published from 1 January 2002 to 30 June 2008. RESULTS: Acute PID is a polymicrobic infection caused by both sexually transmitted organisms (primarily Neisseria gonorrhoeae and Chlamydia trachomatis) and microorganisms found in the endogenous flora of the vagina and cervix. The latter include anaerobic bacteria and facultative bacteria, many of which are associated with bacterial vaginosis. Genital tract mycoplasmas, most importantly Mycoplasma genitalium, may also be implicated in the etiology of acute PID. Because of this polymicrobial nature, currently available evidence, as well as recommendations by the CDC, support the use of broad-spectrum regimens (oral or parenteral) that provide adequate coverage against these microorganisms. |
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Authors:
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Richard L Sweet |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Expert opinion on pharmacotherapy Volume: 10 ISSN: 1744-7666 ISO Abbreviation: Expert Opin Pharmacother Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-04-08 Completed Date: 2009-10-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100897346 Medline TA: Expert Opin Pharmacother Country: England |
Other Details:
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Languages: eng Pagination: 823-37 Citation Subset: IM |
Affiliation:
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University of California Davis, Center for Women's Health, Sacramento, CA 95817, USA. richard.sweet@ucdmc.ucdavis.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Animals Disease Management Female Humans Pelvic Inflammatory Disease / diagnosis*, microbiology, therapy* Practice Guidelines as Topic / standards Randomized Controlled Trials as Topic / methods, trends Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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