P1-S2.70 The detection and management of pelvic inflammatory disease in aboriginal women in Central Australia: challenges of a remote high prevalence setting

Pelvic inflammatory disease is a gynaecological disease that affects the upper genital organs of reproductive age females. It is a disease associated with clinical sequalae such as tubal blockage, oophoritis and cervicitis which are said to result to high rate of disease (such as female infertility) and deaths among the females. This study therefore attempts to evaluate the association of various factors to high prevalence of pelvic inflammatory disease among women residing in developing countries such as Nigeria. Questionnaires were administered to all women enrolled for this study too obtain their data. Seven hundred and twenty (720) patients out of 1170 patients enrolled for this study were recorded to be pelvic inflammatory disease patients, of which 380(85%) were rural dwellers; 452(87.6%) were ignorant of pelvic inflammatory disease and were thus easily prone to the disease; 285(86.4%) were within the reproductive ages of 25-29 years; 350(85.2%) previously had urinary tract infection a year ago; 496(85.8%) and 343(83.5%) were both married and uneducated females. The high prevalence of pelvic inflammatory disease recorded in this study is due to certain predisposing factors practiced among females in their reproductive ages, hence it is necessary for government to enforce certain measures such as establishment of free education, continuous awareness of pelvic inflammatory disease and establishment of free medical check up to help prevent and control the spread of pelvic inflammatory disease.

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Hospitalisations for pelvic inflammatory disease in young Aboriginal women living in remote Australia: the role of chlamydia and gonorrhoea

Sexually Transmitted Infections ◽

10.1136/sextrans-2021-055242 ◽

2021 ◽

pp. sextrans-2021-055242

Author(s):

Louise Causer ◽

Bette Liu ◽

Caroline Watts ◽

Hamish McManus ◽

Basil Donovan ◽

...

Keyword(s):

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Dual Infection ◽

Chlamydia Infection ◽

Local Context ◽

Published Data ◽

Aboriginal Women ◽

Population Attributable Fractions ◽

Attributable Fractions ◽

Rate Ratios

ObjectiveAboriginal women living in remote Australia experience a high burden of both chlamydia and gonorrhoea infections and disproportionately high rates of pelvic inflammatory disease (PID). We estimated for the first time the fraction of PID attributable to these infections in young Aboriginal women living in these settings.MethodsUsing published data from two large Australian studies (2002–2013; 2010–2014), we calculated the fraction of emergency department presentations and hospitalisations for PID attributable to chlamydia and/or gonorrhoea infection in Aboriginal women aged 16–29 years living in remote Australia. We used a Monte Carlo simulation to estimate the mean and 95% CIs for the assumed prevalence and population attributable fractions for PID for infection stratifications (chlamydia only, gonorrhoea only and dual infection) as well as for any infection (chlamydia and/or gonorrhoea). Additional outputs were calculated for chlamydia infection with/without gonorrhoea coinfection, and vice versa.ResultsThe prevalence of chlamydia only was 12.9% (95% CI: 11.6% to 14.2%), gonorrhoea only was 7.8% (95% CI: 6.6% to 8.9%) and dual infection was 6.5% (95% CI: 5.8% to 7.2%); rate ratios of PID were 1.9 (95% CI: 1.5 to 2.3), 5.2 (95% CI: 4.3 to 6.4) and 4.6 (95% CI: 3.8 to 5.5), respectively. The overall fraction of PID attributable to chlamydia and/or gonorrhoea was 40.2% (95% CI: 36.0% to 44.4%); any gonorrhoea was 33.4% (95% CI: 29.2% to 37.8%) and any chlamydia was 20.6% (95% CI: 16.9% to 24.6%).ConclusionOur study demonstrates the importance of calculating the fraction of PID related to chlamydia and gonorrhoea in the local context, demonstrating the major contribution gonorrhoea makes to PID hospitalisations among Australian Aboriginal women living in remote settings. To significantly and sustainably reduce the unacceptable rate of PID in this population, strategies are urgently needed to improve timely testing and treatment and recognition and management of PID in primary care.

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High prevalence of cervical intra-epithelial neoplasia in women treated for pelvic inflammatory disease

European Journal of Obstetrics & Gynecology and Reproductive Biology ◽

10.1016/s0301-2115(98)00146-8 ◽

1998 ◽

Vol 81 (1) ◽

pp. 51-54 ◽

Cited By ~ 5

Author(s):

J. Giraud ◽

J. Coiffic ◽

P. Poulain ◽

J. Kerisit

Keyword(s):

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

High Prevalence

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Frequent occurrence of undiagnosed pelvic inflammatory disease in remote communities of central Australia

The Medical Journal of Australia ◽

10.5694/mja11.11450 ◽

2012 ◽

Vol 197 (11-12) ◽

pp. 647-651 ◽

Cited By ~ 7

Author(s):

Bronwyn J Silver ◽

Janet Knox ◽

Kirsty S Smith ◽

James S Ward ◽

Jacqueline Boyle ◽

...

Keyword(s):

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Frequent Occurrence ◽

Remote Communities ◽

Central Australia

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Diagnostik und Therapie der Adnexitis (Pelvic Inflammatory Disease)

Therapeutische Umschau ◽

10.1024/0040-5930/a001171 ◽

2020 ◽

Vol 77 (4) ◽

pp. 164-170

Author(s):

Franziska Siegenthaler ◽

Elke Krause ◽

Michael D. Mueller

Keyword(s):

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Diagnostik Und Therapie ◽

Operative Exploration

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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