A Need for Standardization of the Diagnosis and Treatment of Pelvic Inflammatory Disease: Pilot Study in an Outpatient Clinic in Quito, Ecuador
Joint Authors
Cueva, Francisco
Caicedo, Andrés
Hidalgo, Paula
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-09
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Pelvic inflammatory disease (PID) diagnosis is often challenging as well as its treatment.
This study sought to characterize the diagnostic and therapeutic trend among physicians at the outpatient level, in Quito, Ecuador, where currently no nationwide screening or specific clinical guideline has been implemented on PID or its main microbiological agents.
Methods.
A retrospective analysis of medical records with pelvic inflammatory disease diagnosis in an outpatient clinic was performed.
Electronic medical records from 2013 to 2018 with any pelvic inflammatory disease-related diagnoses were retrieved.
Information with regard to age, sexually related risk factors, symptoms and physical exam findings, ancillary tests, method of diagnosis, and antibiotic regimens was extracted.
Results.
A total of 186 records were included.
The most frequent clinical manifestations were vaginal discharge (47%) and pelvic pain (39%).
In the physical examination, leucorrhea was the most frequent finding (47%), followed by lower abdominal tenderness (35%) and cervical motion tenderness in 51 patients (27%).
A clinical diagnosis was established in 60% of patients, while 37% had a transvaginal sonography-guided diagnosis.
Antibiotic treatment was prescribed with standard regimens in 3% of cases, while other regimens were used in 93% of patients.
Additionally, an average of 1.9 drugs were prescribed per patient, with a range from 1 to 5, all in different combinations and dosages.
Conclusions.
No standardized methods of diagnosis or treatment were identifiable.
These findings highlight the need for standardization of the diagnosis and treatment of PID attributed to chlamydial and gonococcal infections.
American Psychological Association (APA)
Cueva, Francisco& Caicedo, Andrés& Hidalgo, Paula. 2020. A Need for Standardization of the Diagnosis and Treatment of Pelvic Inflammatory Disease: Pilot Study in an Outpatient Clinic in Quito, Ecuador. Infectious Diseases in Obstetrics and Gynecology،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1167274
Modern Language Association (MLA)
Cueva, Francisco…[et al.]. A Need for Standardization of the Diagnosis and Treatment of Pelvic Inflammatory Disease: Pilot Study in an Outpatient Clinic in Quito, Ecuador. Infectious Diseases in Obstetrics and Gynecology No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1167274
American Medical Association (AMA)
Cueva, Francisco& Caicedo, Andrés& Hidalgo, Paula. A Need for Standardization of the Diagnosis and Treatment of Pelvic Inflammatory Disease: Pilot Study in an Outpatient Clinic in Quito, Ecuador. Infectious Diseases in Obstetrics and Gynecology. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1167274
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1167274