Trends in diagnosis of pelvic inflammatory disease in an Australian sexual health clinic, 2002–16: before and after clinical audit feedback

Sexual Health ◽  
2019 ◽  
Author(s):  
Jane L. Goller ◽  
Christopher K. Fairley ◽  
Alysha M. De Livera ◽  
Marcus Y. Chen ◽  
Catriona S. Bradshaw ◽  
...  
Keyword(s):  
Sexual Health ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Clinical Audit ◽  
Health Clinic ◽  
Before And After

scholarly journals P08.19 Risk of pelvic inflammatory disease from chlamydia and gonorrhoea among australian sexual health clinic attendees

2015 ◽  
Vol 91 (Suppl 2) ◽  
pp. A139.1-A139 ◽  
Author(s):  
JL Goller ◽  
CK Fairley ◽  
CS Bradshaw ◽  
AM De Livera ◽  
MY Chen ◽  
...  
Keyword(s):  
Sexual Health ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Health Clinic

Pelvic examination leads to changed clinical management in very few women diagnosed with asymptomatic chlamydia infection

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 498 ◽  
Author(s):  
Yi Man Lee ◽  
Anil Samaranayake ◽  
Christopher K. Fairley ◽  
Marcus Y. Chen ◽  
Fiona MacFarlane ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Sexual Health ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Clinical Management ◽  
Chlamydia Infection ◽  
Health Clinic ◽  
Pelvic Examination ◽  
Pelvic Examinations

The present study aimed to determine whether pelvic examinations change clinical management of women with asymptomatic chlamydia infection. Records for women with asymptomatic chlamydia who underwent a pelvic examination at a sexual health clinic in Melbourne, Australia (January 2006 to June 2007) were analysed retrospectively. Of 91 cases, 31 (34%) warranted examination; one woman (1%; 95% confidence interval: 0.5%, 6.4%) had muco-purulent cervicitis and mild tenderness, and was treated for possible pelvic inflammatory disease. These data suggest that a pelvic examination will lead to changes in treatment for very few women diagnosed with asymptomatic chlamydia infection.

Pelvic inflammatory disease associated with Chlamydia trachomatis but not Mycoplasma genitalium in New Zealand

Sexual Health ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 43 ◽  
Author(s):  
Jeannie Oliphant ◽  
Sunita Azariah
Keyword(s):  
New Zealand ◽  
Chlamydia Trachomatis ◽  
Sexual Health ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Trichomonas Vaginalis ◽  
Mycoplasma Genitalium ◽  
Control Group ◽  
Sexual Health Service ◽  
Relevant Variables

Background There is a paucity of studies looking at associations between Mycoplasma genitalium and pelvic inflammatory disease (PID). The objectives of this study were to estimate the prevalence of M. genitalium in women attending a sexual health service in New Zealand and secondly to examine for an association of M. genitalium with PID. Methods: Women consecutively attending the service for a sexual health screen (Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis) were recruited to establish a baseline prevalence of M. genitalium. An extra cervical swab was taken for the detection of M. genitalium. Recruitment of additional women with a clinical diagnosis of PID continued until a sufficient sample size was obtained to examine the association of PID with M. genitalium. Women in the baseline sample without PID were used as the control group. Results: The control group included 250 women, with M. genitalium diagnosed in 8.7% (95% CI 5.8–12.9%) and C. trachomatis in 9.9% (95% CI 6.8–14.2%). Ninety-one women were recruited with PID; M. genitalium was diagnosed in 9.9% (95% CI 5.3–17.7%) and C. trachomatis in 27.5% (95% CI 19.4–37.4%). Multivariate analysis using clinically relevant variables showed that a diagnosis of C. trachomatis (OR 2.44, 95% CI 1.24–4.81) but not M. genitalium (OR 0.91, 95% CI 0.38–2.20) was significantly associated with a PID diagnosis. Conclusions: M. genitalium was almost as commonly diagnosed as C. trachomatis in this population. C. trachomatis was the only infection that was significantly associated with PID.

scholarly journals Incidence of Pelvic Inflammatory Disease Associated With Mycoplasma genitalium Infection: Evidence Synthesis of Cohort Study Data

2020 ◽  
Vol 71 (10) ◽  
pp. 2719-2722 ◽  
Author(s):  
Joanna Lewis ◽  
Paddy J Horner ◽  
Peter J White
Keyword(s):  
Cohort Study ◽  
Sexual Health ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Evidence Synthesis ◽  
Age Groups ◽  
Mycoplasma Genitalium ◽  
Credible Interval ◽  
Study Data ◽  
Health Cohort Study

Abstract We synthesized evidence from the POPI sexual-health cohort study and estimated that 4.9% (95% credible interval, .4–14.1%) of Mycoplasma genitalium infections in women progress to pelvic inflammatory disease versus 14.4% (5.9–24.6%) of chlamydial infections. For validation, we predicted PID rates in 4 age groups that agree well with surveillance data.

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