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Papers of the Week

2022 Sep

Obstet Gynecol Clin North Am



Identification and Treatment of Acute Pelvic Inflammatory Disease and Associated Sequelae.


Frock-Welnak DN, Tam J
Obstet Gynecol Clin North Am. 2022 Sep; 49(3):551-579.
PMID: 36122985.


Pelvic inflammatory disease (PID) is an ascending polymicrobial infection of the upper female genital tract. The presentation of PID varies from asymptomatic cases to severe sepsis. The diagnosis of PID is often one of exclusion. Primary treatment for PID includes broad-spectrum antibiotics with coverage against gonorrhea, chlamydia, and common anaerobic and aerobic bacteria. If not clinically improved by antibiotics, percutaneous drain placement can promote efficient source control, as is often the case with large tubo-ovarian abscesses. Ultimately, even with treatment, PID can result in long-term morbidity, including chronic pelvic pain, infertility, and ectopic pregnancy.