Factors associated with pelvic inflammatory disease: A case series analysis of family planning clinic data

Abstract

Background: We aimed to better understand factors associated with pelvic inflammatory disease in an outpatient setting. Methods: We analysed the characteristics of pelvic inflammatory disease cases diagnosed in an outpatient setting during 2018. There were 72 cases included in the final analysis. Results: Of the pelvic inflammatory disease cases analysed, 55% were idiopathic, 22.2% were related to a sexually transmitted infection, and 22.2% had onset of symptoms within 6 weeks of a gynaecological procedure. Of the sexually transmitted infection–positive pelvic inflammatory disease cases, Chlamydia trachomatis was present in 56%, Mycoplasma genitalium was present in 38%, and Neisseria gonorrhoeae was present in 12.5% of cases. Many pelvic inflammatory disease cases had evidence of vaginal dysbiosis or features associated with vaginal flora disruption (recent antibiotic usage and/or vulvovaginal candidiasis). Conclusion: This case series highlights the burden of Mycoplasma genitalium pelvic inflammatory disease, and clinicians should be aware to include testing for this when diagnosing pelvic inflammatory disease. Our findings also support the hypothesis that host dysbiotic microbiota may contribute to pelvic inflammatory disease pathogenesis, with further research required to explore this proposition.

Ovarian Tube Abscess in an Intrauterine Contraceptive Device User for 5 Years: A Case Report

“…The findings from our present study shed significant light on the advantages of early laparoscopy in the management of patients with various pelvic conditions. Patients who underwent early laparoscopy experienced a notably swifter recovery process compared to those subjected to conventional or late laparoscopy (Sweeney et al, 2022). Several key parameters underscore this observation, including a shorter duration of elevated body temperature (>38°C), reduced operation time, diminished blood loss, and shorter hospitalization periods for the early laparoscopy group.…”

Поширеність Запальних Захворювань Органів Малого Таза У Хворих На Цукровий Діабет

“…Приблизно в 60 % випадків ЗЗОМТ етіологічного збудника не виявляють [56]. Якщо збудника не виявляють, патогени Neisseria gonorrhoea, chlamydia tracho matis та Mycoplasma genitalium можуть бути залучені [57]. Зважаючи на те, що ЗЗОМТ можуть бути пов'язані з деякими організмами, пов'язаними з бактеріальним вагінозом, та розвиватися за відсутності інфекції, яка передається статевим шляхом, дисбіотична мікробіота також може бути етіологічним чинником ЗЗОМТ [58].…”

Associação entre Mycoplasma genitalium e doença inflamatória pélvica: revisão sistemática

“…Com o objetivo de analisar as características dos casos de DIP diagnosticados em um ambulatório de planejamento familiar durante o ano de 2018, estudo desenvolvido em cinco clínicas na cidade de South Wales, Austrália, mostrou que 22,2% dos casos de DIP relacionavam-se com infecções sexualmente transmissíveis prévias, sendo a Chlamydia trachomatis a principal responsável por essa alteração, uma vez que estava presente em 56% das pacientes. Outros microrganismos encontrados foram o Mycoplasma genitalium, presente em 38% das mulheres, e a Neisseria gonorrhoeae, frequente em 12,5% dos casos (Sweeney et al, 2022). Assim, o que parece é que, embora o Mycoplasma genitalium tenha associação com a ocorrência de DIP em mulheres de diferentes faixas etárias e grupos populacionais, sua prevalência é menor que a de Chlamydia trachomatis.…”