Pelvic inflammatory disease PID comprises a spectrum of inflammatory disorders of the upper female genital tract, including any combination of endometritis, salpingitis, tubo-ovarian abscess, and pelvic peritonitis Sexually transmitted organisms, especially N. Recent studies suggest that the proportion of PID cases attributable to N. Microorganisms that comprise the vaginal flora e. In addition, cytomegalovirus CMV, M. Newer data suggest that M. The value of testing women with PID for M. Screening and treating sexually active women for chlamydia reduces their risk for PID , Acute PID is difficult to diagnose because of the wide variation in symptoms and signs associated with this condition.
In each domain, we downgraded one how for serious risk of bias disease two levels for very serious risk of bias. Inflammatory is usually caused by a antibiotics of different bacteria, even in treat where chlamydia, gonorrhoea or mycoplasma genitalium is identified. Funnel plot of comparison: 3. Marier Not a comparison of interest. PID does not have a diagnostic gold standard. Summary of findings Summary of findings for the main comparison Macrolides azithromycin compared to tetracycline doxycycline for pelvic pelvic disease PID. Country: India. Lareau and R. Korn, G.
Accept how to treat pelvic inflammatory disease antibiotics was
With this regimen, parenteral therapy may be discontinued 24 hours after clinical therapy. Group B: cefotaxime 2 g every 8 h for minimum of 4 days and continued until the woman was apyrexial with improvement of symptoms for at least 48 h. Outcomes Primary outcome: clinical cure: absence of infection in the days following cessation of treatment according to clinical observations, microbe eradicated during or after treatment. After discharge from the hospital, doxycycline mg PO twice daily was continued to complete a total of 14 days of treatment. Unit of analysis issues The primary unit of analysis was an event per woman randomized, which was used to calculate the percentage response rate e. Both treatment were followed by clindamycin mg PO every 6 h, to complete 14 days of treatment. Key results We found no conclusive evidence that one treatment was safer or more effective than any other for the cure of PID, and there was no clear evidence for the use of nitroimidazoles a type of antibiotic; metronidazole compared to use of other antibiotics. Notes Ethical approval: judged by the ethics committee. We explored publication bias through visual assessment of funnel plot asymmetry when there were data from 10 or more trials in the same analysis.