If pelvic inflammatory disease is suspected empiric treatment should be initiated
| Autor: | Deborah Zotte, Leanne Scaglione, Cheryle Parham-Foster, Lilian Okereke, Lisa Abatangelo, Leslie Faith Morritt Taub, Colleen Parrish |
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| Rok vydání: | 2010 |
| Předmět: |
Infertility
Adult medicine.medical_specialty Disease Pelvic Pain Nurse's Role Diagnosis Differential Patient Education as Topic Pregnancy Risk Factors Pelvic inflammatory disease Prevalence Medicine Humans Nurse Practitioners Surgical emergency Intensive care medicine Referral and Consultation General Nursing Ectopic pregnancy Primary Health Care business.industry Pelvic pain Incidence Patient Selection Female infertility medicine.disease United States Anti-Bacterial Agents Pregnancy Ectopic Hospitalization Cervical motion tenderness Practice Guidelines as Topic Physical therapy Female medicine.symptom business Infertility Female Pelvic Inflammatory Disease |
| Zdroj: | Journal of the American Academy of Nurse Practitioners. 22(2) |
| ISSN: | 1745-7599 |
| Popis: | Purpose: To assist the nurse practitioner (NP) to make a rapid diagnosis and develop a treatment plan for pelvic inflammatory disease (PID) in order to assist women to promote their health and reduce their risk of the unnecessary sequelae of infertility, tubal damage, and the possibility of a subsequent ectopic pregnancy. Data sources: Centers for Disease Control guidelines and recent clinical practice literature were searched to provide guidance on how to diagnose, treat, and educate the patient with PID. Conclusions: The incidence of PID is approximately 1 million women annually. PID is diagnosed in 1%–2% of sexually active women under the age of 25, with a higher incidence in African American women. Women with PID produce over 2 million emergency room and office visits and incur health care costs of over 4 billion dollars annually. Implications for practice: PID is associated with chronic pelvic pain, infertility, and ectopic pregnancy. Symptoms can range from subtle and indolent to acute and fulminant. Having a high index of suspicion for the diagnosis will assist the NP in treating patients with this disease. Empiric antibiotic therapy should be initiated in all women at risk who have uterine, adnexal, or cervical motion tenderness on a bimanual exam with no other explanation for these symptoms. Without response to treatment, if the diagnosis is unclear, or if a surgical emergency is being considered, prompt referral to a specialist is warranted. Secondary preventive measures are discussed. |
| Databáze: | OpenAIRE |
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