Improving Adherence to Guidelines for the Diagnosis and Management of Pelvic Inflammatory Disease: A Systematic Review

Table 1

Summary of controlled studies to improve adherence to diagnosis and management guidelines for PID.

Study ID	Study type	Setting/Year	Target population	𝑁^∗	Intervention	Outcomes
Trent et al. [19]	Interrupted time series	A single paediatric outpatient department in the US, 2001–2003	Patients and practitioners	127	Multilevel intervention: practitioner treatment algorithm and practice guideline, full 14-day course of antibiotics for patients and written discharge instructions, telephone follow-up at 24–48 hrs and 2 weeks.	Patients receiving appropriate medication, return for follow-up.
Trent et al. [17]	RCT	5 hospital emergency departments or paediatric and adolescent medicine clinics in a large urban US centre, ~2007	15–21-year-old women diagnosed with outpatient treatable PID in	121	6-minute video using health belief model to acknowledge barriers and benefits to PID self-care in addition to standardised care.	Medication completion, temporary sexual abstinence during the 14-day treatment period, partner notification, partner treatment, return for 72-hour follow-up.
Balamuth et al. [18]	RCT	Members of the section on Emergency Medicine of the American Academy of Paediatrics, US, 2008	Physicians working in paediatric emergency departments	237	Use of a PID-treatment summary sheet versus the full CDC PID-treatment guidelines.	Correct completion of a multiple choice survey on PID diagnosis, treatment and follow-up.

* N is the total number of population including both intervention and control groups.