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==Diagnostic Criteria==
The [[CDC]] has developed a set of diagnostic criteria for prompt treatment of PID based on clinical manifestations to minimize its sequelae.<ref name="pmid26042815">{{cite journal |vauthors=Workowski KA, Bolan GA |title=Sexually transmitted diseases treatment guidelines, 2015 |journal=MMWR Recomm Rep |volume=64 |issue=RR-03 |pages=1–137 |year=2015 |pmid=26042815 |doi= |url=}}</ref>
 
{| style="border: 0px; font-size: 100%; margin: 3px;" align=center
|+
! style="background: #4479BA; width: 500px;" | {{fontcolor|#FFFFFF|Minimum diagnostic criteria
(at least 1 must be present)}}
! style="background: #4479BA; width: 500px;" | {{fontcolor|#FFFFFF|Additional diagnostic criteria
(at least 1 must be present), increases specificity}}
! style="background: #4479BA; width: 500px;" | {{fontcolor|#FFFFFF|Definitive diagnostic criteria}}
|-
| style="padding: 10px 10px; background: #F5F5F5;" |
*[[Cervical motion tenderness]]
*[[Uterine]] tenderness
*[[Adnexal]] Tenderness
| style="padding: 10px 10px; background: #F5F5F5;" |
*Oral temperature >101°F (>38.3°C)
*Abnormal cervical [[mucopurulent discharge]] or cervical friability
*Presence of abundant numbers of [[White blood cells|WBC]] on saline microscopy of vaginal fluid
*Elevated [[erythrocyte sedimentation rate]]
*Elevated [[C-reactive protein]]
*Laboratory documentation of cervical infection ([[N. gonorrhoeae]] or [[C. trachomatis]])
| style="padding: 10px 10px; background: #F5F5F5;" |
*[[Endometrial biopsy]] with histopathological evidence of [[endometritis]]
*[[Transvaginal ultrasound]] or [[MRI]] showing thickened, fluid-filled tubes with or without free pelvic fluid or tubo-ovarian complex, or [[doppler]] studies suggesting pelvic infection (e.g., tubal [[Hyperaemia|hyperemia]])
*Laporoscopic findings consistent with PID
|-
|}
 
*The minimum diagnostic criteria are intended to have a high [[sensitivity]] with the goal of detecting as many cases of PID as possible.
*Additional criteria support the diagnosis of PID with greater [[specificity]], while definitive criteria confirm the diagnosis.<ref name="pmid26042815">{{cite journal |vauthors=Workowski KA, Bolan GA |title=Sexually transmitted diseases treatment guidelines, 2015 |journal=MMWR Recomm Rep |volume=64 |issue=RR-03 |pages=1–137 |year=2015 |pmid=26042815 |doi= |url=}}</ref>


==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WS}}


[[Category:Needs content]]
[[Category:Emergency mdicine]]
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[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
[[Category:Gynecology]]
[[Category:Gynecology]]
[[Category:Abdominal pain]]
[[Category:Sexually transmitted diseases]]
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Latest revision as of 23:37, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Diagnostic Criteria

The CDC has developed a set of diagnostic criteria for prompt treatment of PID based on clinical manifestations to minimize its sequelae.[1]

Minimum diagnostic criteria

(at least 1 must be present)

Additional diagnostic criteria

(at least 1 must be present), increases specificity

Definitive diagnostic criteria
  • The minimum diagnostic criteria are intended to have a high sensitivity with the goal of detecting as many cases of PID as possible.
  • Additional criteria support the diagnosis of PID with greater specificity, while definitive criteria confirm the diagnosis.[1]

References

  1. ↑ 1.0 1.1 Workowski KA, Bolan GA (2015). "Sexually transmitted diseases treatment guidelines, 2015". MMWR Recomm Rep. 64 (RR-03): 1–137. PMID 26042815.

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