2017 European guideline for the management of pelvic inflammatory disease

The European guideline for the management of pelvic inflammatory disease includes evidence-based advice on the investigation and treatment of pelvic inflammatory disease (PID). It has been updated to acknowledge the role of Mycoplasma genitalium as an important cause of PID with testing now recommen...

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Published inInternational journal of STD & AIDS Vol. 29; no. 2; p. 108
Main Authors Ross, Jonathan, Guaschino, Secondo, Cusini, Marco, Jensen, Jorgen
Format Journal Article
LanguageEnglish
Published England 01.02.2018
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ISSN1758-1052
DOI10.1177/0956462417744099

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Abstract The European guideline for the management of pelvic inflammatory disease includes evidence-based advice on the investigation and treatment of pelvic inflammatory disease (PID). It has been updated to acknowledge the role of Mycoplasma genitalium as an important cause of PID with testing now recommended for women presenting with possible PID and for the male partners of women with confirmed M. genitalium infection. Recent evidence suggests that serious adverse events are uncommon when using moxifloxacin and its use is now recommended as a first-line therapy, especially in those women with M. genitalium PID. The potential utility of MRI scanning of the pelvis in excluding differential diagnoses has been highlighted. The use of doxycycline is now suggested as empirical treatment for male partners of women with PID to reduce exposure to macrolide antibiotics, which has been associated with increased resistance in M. genitalium.
AbstractList The European guideline for the management of pelvic inflammatory disease includes evidence-based advice on the investigation and treatment of pelvic inflammatory disease (PID). It has been updated to acknowledge the role of Mycoplasma genitalium as an important cause of PID with testing now recommended for women presenting with possible PID and for the male partners of women with confirmed M. genitalium infection. Recent evidence suggests that serious adverse events are uncommon when using moxifloxacin and its use is now recommended as a first-line therapy, especially in those women with M. genitalium PID. The potential utility of MRI scanning of the pelvis in excluding differential diagnoses has been highlighted. The use of doxycycline is now suggested as empirical treatment for male partners of women with PID to reduce exposure to macrolide antibiotics, which has been associated with increased resistance in M. genitalium.
Author Cusini, Marco
Jensen, Jorgen
Ross, Jonathan
Guaschino, Secondo
Author_xml – sequence: 1
  givenname: Jonathan
  surname: Ross
  fullname: Ross, Jonathan
  organization: 1 University Hospital Birmingham NHS Foundation Trust, Birmingham, UK
– sequence: 2
  givenname: Secondo
  surname: Guaschino
  fullname: Guaschino, Secondo
  organization: 2 University of Trieste, Trieste, Italy
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  givenname: Marco
  surname: Cusini
  fullname: Cusini, Marco
  organization: 3 Department of Dermatology, Fondazione IRCCS Ca' Granda Ospedale Policlinico, Milano, Italy
– sequence: 4
  givenname: Jorgen
  surname: Jensen
  fullname: Jensen, Jorgen
  organization: 4 Statens Serum Institut, Copenhagen, Denmark
BackLink https://www.ncbi.nlm.nih.gov/pubmed/29198181$$D View this record in MEDLINE/PubMed
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Keywords treatment
pelvic inflammatory disease
Pelvic infection
antibiotics
guideline
salpingitis
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