A review of antibiotic therapy for pelvic inflammatory disease

Research output: Contribution to journalArticlepeer-review

Authors

External organisations

  • Bolton NHS foundation Trust
  • Universidade Federal do Rio Grande do Sul

Abstract

Pelvic inflammatory disease (PID) is a gynaecological inflammatory disorder with a high incidence that can lead to sequelae such as infertility, ectopic pregnancy and chronic pelvic pain. The International Union against Sexually Transmitted Infections (IUSTI) and the US Centers for Disease Control and Prevention (CDC) have issued treatment recommendations for the management of PID. The purpose of this review is to summarise the available evidence for the use of IUSTI- and CDC-recommended antibiotic therapies for PID. The main differences between recommendations concern alternative regimens for inpatient treatment and the use of oral moxifloxacin as an alternative outpatient regimen in the IUSTI guidelines. There is evidence supporting the use of the recommended antibiotic regimens, although with some variation in reported cure rates. This variation can be explained, in part, by the different diagnostic and evaluation criteria used in different trials. Adverse events that require discontinuation of antibiotic therapy are rarely observed. The main limitation of the current available evidence is the short-term follow-up, which does not allow full evaluation of the risks of long-term sequelae.

Details

Original languageEnglish
Pages (from-to)272-277
Number of pages6
JournalInternational Journal of Antimicrobial Agents
Volume46
Issue number3
Early online date17 Jun 2015
Publication statusPublished - Sep 2015

Keywords

  • Antibiotic therapy, CDC guidelines, IUSTI guidelines, Pelvic inflammatory disease