A retrospective study of clinical encounters for pelvic inflammatory disease: missed opportunities to screen for syphilis and HIV?

Author(s):  
Sabrina C. Lee ◽  
Helen Pymar ◽  
Heather Prior ◽  
Jared M. Bullard ◽  
Vanessa Poliquin
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fen Zhang ◽  
Qing Feng ◽  
Linna Yang ◽  
Xuelian Liu ◽  
Lingyun Su ◽  
...  

Abstract Background The present study aims to provide a comparative analysis of the etiologies of female infertility between Dehong, on the Yunnan Frontier, and Kunming. Methods A retrospective study, which included 941 infertile females in Kunming who were treated in the First People’s Hospital of Yunnan Province and infertile females who were treated in the local hospital in Dehong from January 2016 to November 2018, was conducted. A comparative analysis of the etiologies of infertility in the two regions was then carried out. Results In patients with primary infertility, ovulation disorder (15.03%) was the main cause of infertility in Kunming, and pelvic inflammatory disease (25.59%) was the main cause in Dehong. With regard to secondary infertility, although pelvic inflammatory disease was the main cause of infertility in both regions, the incidence of intrauterine adhesions in Kunming was significantly higher than in Dehong. Conclusions The etiology of infertility showed different epidemiological characteristics depending on the region, hence individualized treatment should be given accordingly


1997 ◽  
Vol 119 (1) ◽  
pp. 49-52 ◽  
Author(s):  
I. SIMMS ◽  
P. A. ROGERS ◽  
A. NICOLL

A retrospective study was carried out to determine the recent epidemiology of ectopic pregnancy in England between the biennial years 1988/9 and 1992/3. The number of ectopic pregnancy cases were combined with numbers of conceptions and the rates analysed for trend over time. The incidence of ectopic pregnancy rose significantly (P=0·05) over this period. However, this could be entirely explained by increasing numbers of births in older women and a highly significant positive association was found between risk of ectopic pregnancy and maternal age (P<0·0001). Over the study period the incidence of ectopic pregnancy in women aged 40 years or more was over 14 times that observed in those under 16 years of age. It is suggested that this reflects cumulative risk of acquiring pelvic inflammatory disease. The surveillance of ectopic pregnancy provides a useful indicator of the level of reproductive morbidity in women.


2020 ◽  
Vol 77 (4) ◽  
pp. 164-170
Author(s):  
Franziska Siegenthaler ◽  
Elke Krause ◽  
Michael D. Mueller

Zusammenfassung. Die Adnexitis, im anglo-amerikanischen Sprachgebrauch hat sich der Sammelbegriff Pelvic Inflammatory Disease (PID) durchgesetzt, stellt ein häufiges medizinisches Problem dar. Die Diagnose einer PID kann schwierig sein, da die klinischen Manifestationen unspezifisch sind und sie andere Becken- und Bauchprozesse imitieren können. Infektionen im Bereich der Adnexen können schwerwiegend sein und Langzeitkomplikationen (chronische Unterbauchschmerzen, Infertilität) verursachen, weshalb eine rasche Diagnosestellung und der frühzeitige Beginn einer adäquaten Antibiotika Therapie von grosser Wichtigkeit sind. Unkomplizierte PID haben meistens einen günstigen Verlauf, bei komplizierten Formen mit Tuboovarialabzess ist meist eine operative Exploration notwendig.


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