Journal Article

Concerns Regarding the Centers for Disease Control's Published Guidelines for Pelvic Inflammatory Disease

David L. Hemsel, William J. Ledger, Mark Martens, Gilles R. G. Monif, Newton G. Osborne and Jessica L. Thomason

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 32, issue 1, pages 103-107
Published in print January 2001 | ISSN: 1058-4838
Published online January 2001 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/317529
Concerns Regarding the Centers for Disease Control's Published Guidelines for Pelvic Inflammatory Disease

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The International-Infectious Disease Society for Obstetrics and Gynecology-USA (I-IDSOG-USA) has concerns about the most recently published Centers for Disease Control and Prevention (CDC) guidelines for pelvic inflammatory disease (PID). I-IDSOG-USA advocates the following changes when the guidelines are revised. We recommend the use of the term “upper genital tract infection” (UGTI), followed by the designation of the etiologic agent, instead of the currently employed term, “pelvic inflammatory disease,” or PID. In diagnoses, there should be greater emphasis on signs and symptoms related to subclinical or occult UGTI. Therapeutic recommendation for the treatment of UGTI should be documented for various stages of this diverse disease entity. There should be greater emphasis on hospitalization for infected nulligravida teenagers. This permits monitoring of antibiotic treatment and provides a site for medical educational efforts to teach this medically underserved segment of our society how to protect their future fertility, their health, and their lives.

Journal Article.  2721 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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