Review Article

Treatment of Acute Pelvic Inflammatory Disease

Table 1

Recovery of microorganisms from the upper genital tract of women with acute PID.

StudyNumber of patientsChlamydia trachomatisNeisseria gonorrhoeaeAnaerobic and aerobic bacteria

Sweet [26ā€“29]38068 (18%)172 (45%)267 (70%)
Wasserheit [30]2311 (44%)8 (35%)11 (45%)
Heinonen [31]2510 (40%)4 (16%)17 (68%)
Paavonen [32]3512 (34%)4 (11%)24 (69%)
Brunham [33]5021 (42%)8 (16%)10 (20%)
Soper [34]84a1 (1.2%)32 (38%)12 (13%)
51b6 (7.4%)49 (98%)16 (32%)
Hillier [35]85a3 (4%)16 (19%)43 (50%)
178b23 (13%)44 (25%)168 (94%)
278c27 (9.9%)37 (13.4%)170 (61%)
Haggerty [36]45c,d12 (26.5%)15 (33.3%) e

Total 1234 194 (15.7%)389 (31.5%) 770 (62%)

aFallopian tube, cul-de-sac.
bEndometrial cavity.
cClinically diagnosed acute PID.
dHistologic endometritis.
eNot available as total: anaerobic Gram-negative rods 31.7%; anaerobic Gram-positive cocci 22%; Gardnerella vaginalis 30.5%.
Reprinted with permission. Sweet [3].