Characteristics of pelvic inflammatory disease caused by sexually transmitted disease - An epidemiologic study
| Autor: | Michal Katzir, Yael Yagur, Ron Schonman, Zvi Klein, Netanella Miller, Omer Weitzner, Lisa Barchilon Tiosano, Yossi Paitan |
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| Rok vydání: | 2021 |
| Předmět: |
Sexually transmitted disease
Adult medicine.medical_specialty Population Gonorrhea Sexually Transmitted Diseases Mycoplasma hominis urologic and male genital diseases medicine.disease_cause Cohort Studies 03 medical and health sciences 0302 clinical medicine Internal medicine Pelvic inflammatory disease Medicine Humans education Retrospective Studies education.field_of_study 030219 obstetrics & reproductive medicine biology business.industry Obstetrics and Gynecology medicine.disease biology.organism_classification female genital diseases and pregnancy complications Reproductive Medicine Pelvic inflammatory disease (PID) 030220 oncology & carcinogenesis Female business Chlamydia trachomatis Mycoplasma genitalium Pelvic Inflammatory Disease |
| Zdroj: | Journal of gynecology obstetrics and human reproduction. 50(9) |
| ISSN: | 2468-7847 |
| Popis: | Introduction Pelvic inflammatory disease (PID) is an infection of the upper genital organs, diagnosed by clinical findings. The nucleic acid amplification test (NAAT) identify sexually transmitted (STD) pathogens from endocervical swabs, via real time PCR. This study explored the prevalence of STD detected by NAAT for women with PID. We also aimed to identify predictive characteristics for positive test. Material & Methods This retrospective cohort study explored the prevalence of positive NAAT for women with clinically diagnosed PID, 2016–2019, in a secondary referral center. The primary outcome was the prevalence of positive STD tests and specific pathogens. The secondary outcome was predictive clinical and laboratory parameters for positive NAAT. Results Among the 610 women in our cohort, 103 had a positive STD PCR, which accounts for 17%. Most of the patients had Urea parvum (39.4%) Mycoplasma hominis (17.2%) or Urea urealyticum (15.7%). Other pathogens with lower incidence were Chlamydia trachomatis (9.8%), Trichomonas vaginalis (3.4%), Mycoplasma genitalium (2.1%) and the lowest rate was for Neisseria gonorrhea (1.5%). Conclusion In our population, we found lower prevalence of Chlamydia trachomatis and Neisseria gonorrhea compared to other large populations. This may be due to a high prevalence of married and religious women and also due to administration of a wide range of empirical antibiotic treatment, even for a low suspicion of PID. The study also gives reassurance that our empirical antibiotic protocol is adjusted to the endemic PID pathogens found in our population. |
| Databáze: | OpenAIRE |
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