Risk factors for a complicated clinical course among women hospitalized with pelvic inflammatory disease

The absence of both the classic risk factors for pelvic inflammatory disease (PID) and the triad of cervical motion, uterine or adnexal tenderness does not preclude the diagnosis of PID and tubo-ovarian abscess. The clinical case demonstration presents the perimenopausal woman with complicated clinical course of acute PID.

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Risk Factors for a Complicated Clinical Course Among Women Hospitalized With Pelvic Inflammatory Disease

Infectious Diseases in Obstetrics and Gynecology ◽

10.1155/s1064744900000077 ◽

2000 ◽

Vol 8 (2) ◽

pp. 88-93 ◽

Cited By ~ 6

Author(s):

Denise J. Jamieson ◽

Ann Duerr ◽

Milagros A. Macasaet ◽

Herbert B. Peterson ◽

Susan D. Hillis

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Drug Use ◽

Hospital Stay ◽

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Clinical Course ◽

Older Age ◽

Prolonged Hospital Stay ◽

Prolonged Hospital

The aim of this study was to identify factors ascertainable at initial presentation that predict a complicated clinical course in HIV-negative women hospitalized with pelvic inflammatory disease (PID). We used data from a cross-sectional study of women admitted for clinically diagnosed PID to a public hospital in New York City. A complicated clinical course was defined as undergoing surgery, being readmitted for PID, or having a prolonged hospital stay (≥ 14 days) but no surgery. Logistic regression was used to identify independent predictors of complications. In adjusted analyses, older age (≥35 years) was a risk factor for prolonged hospital stay (adjusted odds ratio [OR] = 3.9; 95% confidence interval [CI] = 1.3–11.6) and surgery (OR = 10.4; CI = 2.5–44.1); self-reported drug use was a risk factor for readmission for PID (OR = 7.7; CI = 1.4-41.1) and surgery (OR = 6.2; CI = 1.8–20.5). Older age and self-reported drug use appear to be independent risk factors for a complicated clinical course among women hospitalized with PID. Infect. Dis. Obstet. Gynecol. 8:88–93, 2000.

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How prevalent are symptoms and risk factors of pelvic inflammatory disease in a sexually conservative population

Reproductive Health ◽

10.1186/s12978-021-01155-2 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Oqba Al-kuran ◽

Lama Al-Mehaisen ◽

Hamza Alduraidi ◽

Naser Al-Husban ◽

Balqees Attarakih ◽

...

Keyword(s):

Risk Factors ◽

Pelvic Inflammatory Disease ◽

Symptom Score ◽

Pelvic Pain ◽

Inflammatory Disease ◽

Scoring System ◽

Chronic Pelvic Pain ◽

Medical Procedure ◽

Adult Women ◽

Jordanian Population

Abstract Background Pelvic inflammatory disease (PID) is the inflammation of the adnexa of the uterus, that mainly manifests in a subclinical/chronic context and goes largely underreported. However, it poses a major threat to women’s health, as it is responsible for infertility and ectopic pregnancies, as well as chronic pelvic pain. Previous studies in Jordan have not reported PID, attributed mainly to the social structure of the country which largely represents a sexually conservative population. Our study aims to report the clinical symptoms that point towards PID and investigate the major risk determinants for the Jordanian population, in a cross-sectional study, using our scoring system based only on clinical data and examination. Methods One hundred sixty-eight consecutive adult women that came in the Outpatient Clinics of Gynaecological Department of the Jordan University Hospital were interviewed and their medical history and symptoms were registered and analysed. A Score for PID symptoms, we developed, was given to each woman. Results and correlations were then statistically tested. Results Our study population consisted of relatively young women (37.7 ± 11) that had their first child at an average age of 24.1 (± 4.8) and a mean parity of 3.1 (± 2.2). Fifty-eight women (34.5%) reported having undergone at least one CS, while the mean PID Symptom Score was 3.3 (± 2.3). The women in our study exhibited 8 symptoms of PID, namely dysmenorrhea and vaginal discharge; being the commonest (45.2% and 44.6% respectively), in addition to chronic pelvic pain, pelvic heaviness, menorrhagia, dyspareunia, urinary symptoms, and smelly urine. They also reported history of 3 conditions that can be attributed to PID, that is infertility, preterm labour, and miscarriages. Conclusions Our PID Scoring System seems to identify the risk factors of PID and predict well the PID likelihood. This score predicts that women with higher parity, who used contraceptives and underwent any invasive medical procedure are expected to score higher in the PID Symptom Score. Our data also suggest that PID should not be ruled out in the Jordanian population when symptoms are compatible to this diagnosis.

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How Prevalent Are Symptoms and Risk Factors of Pelvic Inflammatory Disease in a Sexually Conservative Population.

10.21203/rs.3.rs-124359/v1 ◽

2020 ◽

Author(s):

Oqba Al-Kuran ◽

Al-Mehaisen Lama ◽

Alduraidi Hamza ◽

Naser Alhusban ◽

Balqees Attarakih ◽

...

Keyword(s):

Risk Factors ◽

Pelvic Inflammatory Disease ◽

Symptom Score ◽

Pelvic Pain ◽

Inflammatory Disease ◽

Chronic Pelvic Pain ◽

University Hospital ◽

Medical Procedure ◽

Adult Women ◽

Jordanian Population

Abstract Background: Pelvic Inflammatory Disease (PID) is the inflammation of the adnexa of the uterus, that mainly manifests in a subclinical/chronic context and goes largely underreported. However, it poses a major threat to women’s health, as it is responsible for infertility and ectopic pregnancies, as well as chronic pelvic pain. Previous studies in Jordan have not reported PID, attributed mainly to the social structure of the country which largely represent a sexually conservative population. Our study aims to report the clinical symptoms that point towards PID and investigate the major risk determinants in a Jordanian population, in a cross-sectional study. Methods: One hundred sixty-eight consecutive adult women that came in the Outpatient Clinics of Gynaecological Department of the Jordan University Hospital were interviewed and their medical history and symptoms were registered and analysed. A Score for PID symptoms, we developed, was given to each woman. Results and correlations were then statistically tested.Results: Our study population consisted of relatively young women (37.7±11) that had their first child at an average age of 24.1 (±4.8) and a mean parity of 3.1 (±2.2). Fifty-eight women (34.5%) reported having undergone at least one CS, while the mean PID Symptom Score was 3.3 (±2.3). The women in our study exhibited 8 symptoms of PID, namely dysmenorrhea and vaginal discharge; being the commonest (45.2% and 44.6% respectively), in addition to chronic pelvic pain, pelvic heaviness, , menorrhagia, dyspareunia, , urinary symptoms, and smelly urine, and reported history of 3 conditions that can be attributed to PID, that is infertility, preterm labour, and miscarriages.Conclusions: Our PID Scoring System seems to identify the risk factors of PID and predict well the PID likelihood. This score predicts that women with higher parity, who used contraceptives and underwent any invasive medical procedure are expected to score higher in the PID Symptom Score. Our data also suggest that PID should not be ruled out in the Jordanian population when symptoms are compatible to this diagnosis.

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