Prophylactic Antibiotics in Women with a History of Pelvic Inflammatory Disease Undergoing First-Trimester Abortion

Introduction: Ectopic pregnancy (EP) is one of the major complications in first trimester pregnancy, resulting in increased maternal morbidity and mortality. It accounts for 1.3-2.4% of all pregnancies. Previously, though laparoscopy was considered as the gold standard for diagnosis of ectopic pregnancy, due to availability of high resolution ultrasound, it has become the first line investigation for the diagnosis of ectopic pregnancy.Methods: It is a prospective study conducted in Manipal Teaching Hospital, Pokhara, from January 2015 till December 2017. All the cases diagnosed with ectopic pregnancy were included in the study. Ultrasonological and intraoperative findings were recorded. Data was analyzed using SPSS (VERSION 16).Results: Twenty six patients were diagnosed with ectopic pregnancies. The incidence was 0.35%. It was most common among the reproductive age group between 20-40 years with mean age of 30.50 years. Pelvic inflammatory disease (n=10, 38.5%) was considered as risk factor. Radiological finding of Type III ectopic pregnancy (n=21, 80.8%) was the most common type.Conclusion: Ectopic pregnancy is common among reproductive age group with previous history of pelvic inflammatory disease. Type III is the most common type.

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Miscellaneous topics in gynaecology

10.1093/med/9780199651382.003.0018 ◽

2016 ◽

Author(s):

Stergios K. Doumouchtsis ◽

S. Arulkumaran ◽

Maya Basu ◽

Claudine Domoney ◽

Stergios K. Doumouchtsis ◽

...

Keyword(s):

Sexual Assault ◽

Ectopic Pregnancy ◽

Pelvic Inflammatory Disease ◽

Urinary Retention ◽

Genital Herpes ◽

Inflammatory Disease ◽

Emergency Surgery ◽

Medical Management ◽

Prophylactic Antibiotics

This chapter outlines miscellaneous topics in gynaecology, such as urinary retention, sexual assault (including incidence, risks, examination, and management), and pharmacotherapeutics in gynaecology (drugs used in the treatment of pelvic inflammatory disease (PID), prophylactic antibiotics for emergency surgery, genital herpes, menorrhagia and dysmenorrhoea, and medical management of ectopic pregnancy and miscarriage).

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Chlamydia trachomatis in women with pelvic inflammatory disease (PID): report from a tertiary center in eastern Nepal

Tropical Doctor ◽

10.1177/0049475519826195 ◽

2019 ◽

Vol 49 (2) ◽

pp. 101-104 ◽

Cited By ~ 1

Author(s):

B Khanal ◽

S Siwakoti ◽

D Uprety ◽

N Poudyal ◽

A Sharma ◽

...

Keyword(s):

Chlamydia Trachomatis ◽

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Smoking Habit ◽

Hormonal Contraception ◽

Previous History ◽

Laboratory Diagnosis ◽

Resource Limited ◽

Tertiary Center ◽

History Of

Chlamydia trachomatis is an important agent of pelvic inflammatory disease (PID) globally. Laboratory diagnosis, which is vital for early and appropriate treatment, remains a challenge in resource-limited settings. Our study was undertaken to detect C. trachomatis in women with clinical features of PID. Three endocervical swabs, each obtained from 100 women clinically diagnosed with PID, were subjected to C. trachomatis antigen detection, microscopy and bacteriological culture. Logistic regression was used to assess the risk factors associated with PID. C. trachomatis antigen was present in 6%. The use of hormonal contraception, previous history of PID and a smoking habit were found to have statistically significant association in those who tested positive. Adjunctive use of rapid Chlamydia antigen test with a routinely practiced syndromic approach is beneficial for timely and appropriate antimicrobial therapy in women with PID.

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Mycoplasma genitaliumamong Young, Urban Pregnant Women

Infectious Diseases in Obstetrics and Gynecology ◽

10.1155/2010/984760 ◽

2010 ◽

Vol 2010 ◽

pp. 1-8 ◽

Cited By ~ 17

Author(s):

Vanessa L. Short ◽

Jørgen S. Jensen ◽

Deborah B. Nelson ◽

Pamela J. Murray ◽

Roberta B. Ness ◽

...

Keyword(s):

Reproductive Health ◽

Pregnant Women ◽

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Mycoplasma Genitalium ◽

Health History ◽

Increased Risk ◽

History Of ◽

The Relationship

Objective. As the consequences ofMycoplasma genitaliumin pregnant women are unknown, we examined the relationship between prenatalM. genitaliuminfection and SAB.Methods. The presence ofM. genitaliumwas determined by PCR in urine from 82 women who subsequently experienced a SAB and 134 women who maintained their pregnancies past 22 weeks gestation. The relationships betweenM. genitaliumand subsequent SAB, demographic, current pregnancy, and reproductive health history characteristics were evaluated.Results. Compared to women withoutM. genitalium, women withM. genitaliumwere more likely to report nulliparity (41.7% versus 17.4%,P=.04), history of pelvic inflammatory disease (27.3% versus 8.8%,P=.08), priorC. trachomatisinfection (63.6% versus 36.9%,P=.11,) and problems getting pregnant (18.2% versus 4.4%,P=.10).M. genitaliumwas not associated with SAB (AOR 0.9, 95% CI 0.2–3.8).Conclusions. Pregnant women who test positive forM. genitaliumdo not have an increased risk of SAB but report a history of reproductive morbidities.

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Uncommon cause of pelvic inflammatory disease leading to toxic shock syndrome

BMJ Case Reports ◽

10.1136/bcr-2018-224955 ◽

2018 ◽

pp. bcr-2018-224955 ◽

Cited By ~ 1

Author(s):

Heather Lusby ◽

Aaron Brooks ◽

Eden Hamayoun ◽

Amanda Finley

Keyword(s):

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Toxic Shock Syndrome ◽

Toxic Shock ◽

Lower Quadrant ◽

Reactive Protein ◽

Source Of Infection ◽

Intravenous Antibiotics ◽

History Of ◽

Group A

A 44-year-old Caucasian female with a history of endometriosis is admitted to the intensive care unit due to severe left lower quadrant abdominal pain, nausea and vomiting. With patients’ positive chandelier sign on pelvic examination, leucocytosis, elevated erythrocyte sedimentation rate and elevated C-reactive protein indicated that she had pelvic inflammatory disease (PID). PCR tests were negative for Neisseria gonorrhoeae and Chlamydia trachomatis; however, her blood and urine cultures grew Group A streptococci (GAS) with a negative rapid Streptococcus throat swab and no known exposure to Streptococcus. On further review, patient met criteria for GAS toxic shock syndrome based on diagnostic guidelines. The patient was promptly treated with intravenous antibiotics and supportive care, and she acutely recovered. This case demonstrates a rare cause of PID and an atypical aetiology of severe sepsis. It illuminates the importance of considering PID as a source of infection for undifferentiated bacteraemia.

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ANTIBIOTIC PROPHYLACTICS ON CURETTAGE FOR PREVENTING PELVIC INFLAMMATORY DISEASE EVENTS: IS IT NECESSARY?

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2018.v11i11.27817 ◽

2018 ◽

Vol 11 (11) ◽

pp. 267

Author(s):

Fauna Herawati ◽

Abdul Rahem ◽

Dwi Handayani ◽

Rika Yulia

Keyword(s):

Antibiotic Prophylaxis ◽

Pelvic Inflammatory Disease ◽

Sedimentation Rate ◽

Inflammatory Disease ◽

Vaginal Discharge ◽

Pain Scale ◽

Prophylactic Antibiotics ◽

Erythrocyte Sedimentation ◽

Group A ◽

Group B

Objective: This study aimed to compare pelvic inflammatory disease (PID) symptoms in curettage procedure with three antibiotic prophylaxis strategies.Methods: The patients were allocated to three Groups (A, B, and C). Group A was patients receiving prophylactic antibiotics and post-curettage antibiotics, Group B received prophylactic antibiotics without post-curettage antibiotics, and Group C did not receive prophylactic antibiotics but received post-curettage antibiotics. The outcomes measured to identify the occurrence of PID symptoms included leukocytes, erythrocyte sedimentation rate, temperature, pain, vaginal discharge, and bleeding.Results: This study shows that there were no significant differences in any PID symptoms between antibiotic strategies except for pain scale (p=0.03).Conclusion: The PID symptoms between the three strategies of antibiotic prophylaxis were similar.

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