Pelvic inflammatory disease diagnostic criteria

Pelvic inflammatory disease Microchapters
Home
Patient Information
Overview
Historical Perspective
Pathophysiology
Causes
Differentiating Pelvic Inflammatory Disease from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Pelvic inflammatory disease diagnostic criteria On the Web
Most recent articles
cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Pelvic inflammatory disease diagnostic criteria All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Pelvic inflammatory disease diagnostic criteria
CDC on Pelvic inflammatory disease diagnostic criteria
Pelvic inflammatory disease diagnostic criteria in the news
Blogs on Pelvic inflammatory disease diagnostic criteria
to Hospitals Treating Pelvic inflammatory disease
Risk calculators and risk factors for Pelvic inflammatory disease diagnostic criteria

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

Diagnostic Criteria

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

Minimum diagnostic criteria (at least 1 must be present)	Additional diagnostic criteria (at least 1 must be present), increases specificity	Definitive diagnostic criteria
Cervical motion tenderness Uterine tenderness Adnexal Tenderness	Oral temperature > 101F (> 38.3C) Abnormal cervical mucopurulent discharge or cervical friability Presence of abundant numbers of 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	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 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.