Objectivized diagnosis of acute pelvic inflammatory disease

Jacobson, L.; Weström, L

doi:10.1016/0002-9378(69)90132-x

Cited by 386 publications

(64 citation statements)

References 6 publications

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“…Laparoscopy has been considered as being the gold standard for PID diagnosis 7,8 ; but its sensitivity varies depending on the stage of the illness -being less sensitive in the mild form where diagnostic criteria are less objective 9 . It is not helpful for all patients (being an expensive technique), nor is it exempt from risk (being an invasive technique).…”

mentioning

confidence: 99%

Accuracy of Five Different Diagnostic Techniques inMild‐to‐Moderate Pelvic Inflammatory Disease

Gaitán

Ángel

Díaz

et al. 2002

Infectious Diseases in Obstetrics and Gynecology

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Objective: To evaluate the clinical diagnosis of pelvic inflammatory disease (PID) compared with the diagnosis of PID made by laparoscopy, endometrial biopsy, transvaginal ultrasound, and cervical and endometrial cultures. Study design: A diagnostic performance test study was carried out by cross-sectional analysis in 61 women. A group presenting PID (n = 31) was compared with a group (n = 30) presenting another cause for non-specific lower abdominal pain (NSLAP). Diagnosis provided by an evaluated method was compared with a standard diagnosis (by surgical findings, histopathology, and microbiology). The pathologist was unaware of the visual findings and presumptive diagnoses given by other methods. Results: All clinical and laboratory PID criteria showed low discrimination capacity. Adnexal tenderness showed the greatest sensitivity. Clinical diagnosis had 87% sensitivity, while laparoscopy had 81% sensitivity and 100% specificity; transvaginal ultrasound had 30% sensitivity and 67% specificity; and endometrial culture had 83% sensitivity and 26% specificity. Conclusions: Clinical criteria represent the best diagnostic method for discriminating PID. Laparoscopy showed the best specificity and is thus useful in those cases having an atypical clinical course for discarding abdominal pain when caused by another factor. The other diagnostic methods might have limited use.

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confidence: 99%

Accuracy of Five Different Diagnostic Techniques inMild‐to‐Moderate Pelvic Inflammatory Disease

Gaitán

Ángel

Díaz

et al. 2002

Infectious Diseases in Obstetrics and Gynecology

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“…Jacobson and Westrom, in a comparison of the accuracy of clinical diagnosis of PID with that achieved by laparoscopic visualization of the fallopian tubes, have demonstrated the difficulty in making an accurate clinical diagnosis despite the use of a detailed list of subjective and objective criteria (6). We found it difficult when reviewing these hospital records to determine exactly what evidence led the physicians in the emergency service to the diagnosis.…”

Section: Resultsmentioning

confidence: 91%

Treatment of Pelvic Inflammatory Disease in an Urban Emergency Service

London¹,

Goldthorn²,

Berman³

1973

Health Services Reports

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“…The diagnosis of acute salpingitis by clinical observation and haematological and clinical chemical investigations has been shown to be correct in only about 60% of cases (Jacobson & Westrom, 1969;Chaparro etal., 1978;Kolmorgen, Seidenschnur & Wergien, 1978;Allen & Schoon, 1983;Kunz & Macciocchi, 1984;Wasserheit etal., 1986). In clinical studies, confirmation of the diagnosis of acute salpingitis by laparoscopy is therefore desirable.…”

Section: Discussionmentioning

confidence: 99%

“…The laparoscopic techniques used and the criteria for the laparoscopic diagnosis and classification of the degree of severity of acute salpingitis were as described by Jacobson & Westrom (1969) and Ripa etal. (1980).…”

Section: Clinical Methodsmentioning

confidence: 99%

Clinical efficacy of amoxycillin/clavulanate in laparoscopically confirmed salpingitis

Obwegeser¹,

Kunz²,

Wüst³

et al. 1989

Journal of Antimicrobial Chemotherapy

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To test the efficacy and safety of amoxycillin/clavulanate (Augmenting 102 hospital patients with laparoscopically confirmed acute salpingitis were treated with parenteral amoxycillin/clavulanate (l-2g qid for three days) followed by oral amoxycillin/ clavulanate (two tablets of 625 mg tid for a further six days). Bacteriological samples were obtained from the cervix uteri and the pouch of Douglas. One hundred patients were assessable for clinical outcome using several variables including pain scores. Amoxycillin/clavulanate alone was effective in 95 patients (95%). Three patients (3%) responded to amoxycillin/clavulanate with marked improvement but another antibiotic was subsequently added to their treatment regimen. Treatment failed in two patients. At follow-up two weeks after hospital discharge, three patients (3-8%) had relapsed or were re-infected. Adverse drug events included one case of drug fever, one case of rash and one case of severe diarrhoea. Treatment was stopped in all three cases. Gastrointestinal reactions, mainly mild diarrhoea, were seen in 31 patients. No clinically relevant changes in haematological or clinical chemical indices were attributable to the amoxyciUin/clavulanatc treatment. We conclude that amoxycillin/clavulanate is a clinically effective and safe treatment for acute salpingitis.

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Objectivized diagnosis of acute pelvic inflammatory disease

Cited by 386 publications

References 6 publications

Accuracy of Five Different Diagnostic Techniques inMild‐to‐Moderate Pelvic Inflammatory Disease

Accuracy of Five Different Diagnostic Techniques inMild‐to‐Moderate Pelvic Inflammatory Disease

Treatment of Pelvic Inflammatory Disease in an Urban Emergency Service

Clinical efficacy of amoxycillin/clavulanate in laparoscopically confirmed salpingitis

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