Factors associated with pelvic inflammatory disease: A case series analysis of family planning clinic data.

Sweeney, S; Bateson, D; Fleming, K; Huston, W

Factors associated with pelvic inflammatory disease: A case series analysis of family planning clinic data.

Sweeney, S Bateson, D Fleming, K Huston, W

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Publisher:: SAGE Publications
Publication Type:: Journal Article
Citation:: Womens Health (Lond), 2022, 18, pp. 17455057221112263
Issue Date:: 2022

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Field	Value	Language
dc.contributor.author	Sweeney, S
dc.contributor.author	Bateson, D
dc.contributor.author	Fleming, K
dc.contributor.author	Huston, W https://orcid.org/0000-0002-0879-1287
dc.date.accessioned	2023-02-08T02:46:48Z
dc.date.available	2023-02-08T02:46:48Z
dc.date.issued	2022
dc.identifier.citation	Womens Health (Lond), 2022, 18, pp. 17455057221112263
dc.identifier.issn	1745-5057
dc.identifier.issn	1745-5065
dc.identifier.uri	http://hdl.handle.net/10453/165995
dc.description.abstract	BACKGROUND: We aimed to better understand factors associated with pelvic inflammatory disease in an outpatient setting. METHODS: We analysed the characteristics of pelvic inflammatory disease cases diagnosed in an outpatient setting during 2018. There were 72 cases included in the final analysis. RESULTS: Of the pelvic inflammatory disease cases analysed, 55% were idiopathic, 22.2% were related to a sexually transmitted infection, and 22.2% had onset of symptoms within 6 weeks of a gynaecological procedure. Of the sexually transmitted infection-positive pelvic inflammatory disease cases, Chlamydia trachomatis was present in 56%, Mycoplasma genitalium was present in 38%, and Neisseria gonorrhoeae was present in 12.5% of cases. Many pelvic inflammatory disease cases had evidence of vaginal dysbiosis or features associated with vaginal flora disruption (recent antibiotic usage and/or vulvovaginal candidiasis). CONCLUSION: This case series highlights the burden of Mycoplasma genitalium pelvic inflammatory disease, and clinicians should be aware to include testing for this when diagnosing pelvic inflammatory disease. Our findings also support the hypothesis that host dysbiotic microbiota may contribute to pelvic inflammatory disease pathogenesis, with further research required to explore this proposition.
dc.format	Print
dc.language	eng
dc.publisher	SAGE Publications
dc.relation.ispartof	Womens Health (Lond)
dc.relation.isbasedon	10.1177/17455057221112263
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Chlamydia Infections
dc.subject.mesh	Chlamydia trachomatis
dc.subject.mesh	Family Planning Services
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Mycoplasma genitalium
dc.subject.mesh	Pelvic Inflammatory Disease
dc.subject.mesh	Sexually Transmitted Diseases
dc.subject.mesh	Humans
dc.subject.mesh	Chlamydia trachomatis
dc.subject.mesh	Mycoplasma genitalium
dc.subject.mesh	Chlamydia Infections
dc.subject.mesh	Pelvic Inflammatory Disease
dc.subject.mesh	Sexually Transmitted Diseases
dc.subject.mesh	Family Planning Services
dc.subject.mesh	Female
dc.title	Factors associated with pelvic inflammatory disease: A case series analysis of family planning clinic data.
dc.type	Journal Article
utslib.citation.volume	18
utslib.location.activity	United States
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
utslib.copyright.status	open_access	*
dc.date.updated	2023-02-08T02:46:43Z
pubs.publication-status	Published
pubs.volume	18

Abstract:

BACKGROUND: We aimed to better understand factors associated with pelvic inflammatory disease in an outpatient setting. METHODS: We analysed the characteristics of pelvic inflammatory disease cases diagnosed in an outpatient setting during 2018. There were 72 cases included in the final analysis. RESULTS: Of the pelvic inflammatory disease cases analysed, 55% were idiopathic, 22.2% were related to a sexually transmitted infection, and 22.2% had onset of symptoms within 6 weeks of a gynaecological procedure. Of the sexually transmitted infection-positive pelvic inflammatory disease cases, Chlamydia trachomatis was present in 56%, Mycoplasma genitalium was present in 38%, and Neisseria gonorrhoeae was present in 12.5% of cases. Many pelvic inflammatory disease cases had evidence of vaginal dysbiosis or features associated with vaginal flora disruption (recent antibiotic usage and/or vulvovaginal candidiasis). CONCLUSION: This case series highlights the burden of Mycoplasma genitalium pelvic inflammatory disease, and clinicians should be aware to include testing for this when diagnosing pelvic inflammatory disease. Our findings also support the hypothesis that host dysbiotic microbiota may contribute to pelvic inflammatory disease pathogenesis, with further research required to explore this proposition.

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http://hdl.handle.net/10453/165995