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Pelvic inflammatory disease in adolescents: a review.
Tex Med. 2002 Feb; 98(2):36-40.TM

Abstract

Pelvic inflammatory disease is relatively common in sexually active adolescents. Most cases are only mildly symptomatic, and criteria for diagnosis should not be stringent. Although chlamydial or gonorrheal infections or both are common in pelvic inflammatory disease, other aerobic and anaerobic organisms are often also present and may be the only causative agents. Commonly used initial therapy, e.g., ceftriaxone and doxycycline, treats some but not all of these organisms. Patients should be seen within 48 to 72 hours after initiating therapy; lack of improvement suggests noncompliance with antibiotic therapy, the need for broader-spectrum antibiotic coverage, a tubo-ovarian abscess, or a mistake in diagnosis. Important preventive measures include screening of sexually active, asymptomatic adolescents for gonorrheal and chlamydial infections, not only in clinics for sexually transmitted diseases and family planning but also in primary care settings. Urine tests that amplify chlamydial and gonococcal nucleic acid are noninvasive and very accurate.

Authors+Show Affiliations

Department of Pediatrics, School of Public Health, University of Texas-Houston Medical School, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

11862890

Citation

Risser, William L., et al. "Pelvic Inflammatory Disease in Adolescents: a Review." Texas Medicine, vol. 98, no. 2, 2002, pp. 36-40.
Risser WL, Risser JM, Cromwell PF. Pelvic inflammatory disease in adolescents: a review. Tex Med. 2002;98(2):36-40.
Risser, W. L., Risser, J. M., & Cromwell, P. F. (2002). Pelvic inflammatory disease in adolescents: a review. Texas Medicine, 98(2), 36-40.
Risser WL, Risser JM, Cromwell PF. Pelvic Inflammatory Disease in Adolescents: a Review. Tex Med. 2002;98(2):36-40. PubMed PMID: 11862890.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pelvic inflammatory disease in adolescents: a review. AU - Risser,William L, AU - Risser,Jan M H, AU - Cromwell,Polly F, PY - 2002/2/28/pubmed PY - 2002/4/19/medline PY - 2002/2/28/entrez SP - 36 EP - 40 JF - Texas medicine JO - Tex Med VL - 98 IS - 2 N2 - Pelvic inflammatory disease is relatively common in sexually active adolescents. Most cases are only mildly symptomatic, and criteria for diagnosis should not be stringent. Although chlamydial or gonorrheal infections or both are common in pelvic inflammatory disease, other aerobic and anaerobic organisms are often also present and may be the only causative agents. Commonly used initial therapy, e.g., ceftriaxone and doxycycline, treats some but not all of these organisms. Patients should be seen within 48 to 72 hours after initiating therapy; lack of improvement suggests noncompliance with antibiotic therapy, the need for broader-spectrum antibiotic coverage, a tubo-ovarian abscess, or a mistake in diagnosis. Important preventive measures include screening of sexually active, asymptomatic adolescents for gonorrheal and chlamydial infections, not only in clinics for sexually transmitted diseases and family planning but also in primary care settings. Urine tests that amplify chlamydial and gonococcal nucleic acid are noninvasive and very accurate. SN - 0040-4470 UR - https://www.unboundmedicine.com/medline/citation/11862890/Pelvic_inflammatory_disease_in_adolescents:_a_review_ L2 - https://medlineplus.gov/pelvicinflammatorydisease.html DB - PRIME DP - Unbound Medicine ER -