Updated French guidelines for diagnosis and management of pelvic inflammatory disease

Jean-Luc Brun, Olivier Graesslin, Arnaud Fauconnier (), Renaud Verdon, Aubert Agostini, Antoine Bourret, Emilie Derniaux, Olivier Garbin, Cyrille Huchon (), Catherine Lamy, Roland Quentin, Philippe Judlin and Coll Natl Gynecologues
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Jean-Luc Brun: department of pathology, university hospital, parakou,
Olivier Graesslin: Service de Gynécologie-Obstétrique - Hôpital Maison Blanche - Institut Mère Enfant - CHU Reims - Hôpital universitaire Robert Debré [Reims]
Arnaud Fauconnier: RISCQ - Risques cliniques et sécurité en santé des femmes et en santé périnatale - UVSQ - Université de Versailles Saint-Quentin-en-Yvelines
Renaud Verdon: Unité de Maladies Infectieuses et Tropicales [CHU Caen] - UNICAEN - Université de Caen Normandie - NU - Normandie Université - CHU Caen - NU - Normandie Université - TCBN - Tumorothèque de Caen Basse-Normandie
Cyrille Huchon: Service de gynécologie et obstétrique [CHI Poissy-Saint Germain] - CHI Poissy-Saint-Germain, RISCQ - Risques cliniques et sécurité en santé des femmes et en santé périnatale - UVSQ - Université de Versailles Saint-Quentin-en-Yvelines
Catherine Lamy: Service d'Obstétrique et de Gynécologie [CHRU Nancy] - CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
Roland Quentin: UMR ISP - Infectiologie et Santé Publique - INRA - Institut National de la Recherche Agronomique - UT - Université de Tours, Département de Bactériologie et Hygiène
Philippe Judlin: Service d'Obstétrique et de Gynécologie [CHRU Nancy] - CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy

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Abstract: Background: Pelvic inflammatory disease (PID) is commonly encountered in ă clinical practice. Objectives: To provide up-to-date guidelines on ă management of PID. Search strategy: An initial search of the Cochrane ă database, PubMed, and Embase was performed using keywords related to PID ă to identify reports in any language published between January 1990 and ă January 2012, with an update in May 2015. Selection criteria: All ă identified reports relevant to the areas of focus were included. Data ă collection and analysis: A level of evidence based on the quality of the ă data available was applied for each area of focus and used for the ă guidelines. Main results: PID must be suspected when spontaneous pelvic ă pain is associated with induced adnexal or uterine pain (grade C). ă Pelvic ultrasonography is necessary to exclude tubo-ovarian abscess ă (grade B). Microbiological diagnosis requires vaginal and endocervical ă sampling for molecular and bacteriological analysis (grade B). ă First-line treatment for uncomplicated PID combines ofloxacin and ă metronidazole for 14 days (grade B). Treatment of tubo-ovarian abscess ă is based on drainage if the collection measures more than 3 cm (grade ă B), with combined ceftriaxone, metronidazole, and doxycycline for 14-21 ă days. Conclusions: Current management of PID requires easily ă reproducible investigations and treatment, and thus can be applied ă worldwide. (C) 2016 International Federation of Gynecology and ă Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Keywords: quality (search for similar items in EconPapers)
Date: 2016-08
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Published in International Journal of Gynecology and Obstetrics, 2016, 134 (2), pp.121-125. ⟨10.1016/j.ijgo.2015.11.028⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01482358

DOI: 10.1016/j.ijgo.2015.11.028

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