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Pelvic Inflammatory Disease in a Pediatric Emergency Department

Epidemiology and Treatment

Solomon, Michelle, MD, MPH*; Tuchman, Lisa, MD, MPH*†; Hayes, Katie, BS; Badolato, Gia, MPH*; Goyal, Monika K., MD, MSCE*†

doi: 10.1097/PEC.0000000000001148
Original Articles
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Objectives Most adolescent cases of pelvic inflammatory disease (PID) are diagnosed in the emergency department (ED). An important step to prevent PID-related morbidity among this high-risk population is to quantify prevalence and microbial patterns and identify testing and treatment gaps.

Methods We performed a retrospective, cross-sectional study of all visits by adolescents to an urban children's ED with an International Classification of Diseases, Ninth Revision, diagnosis of PID in 2012. We used standard descriptive statistics to quantify PID diagnoses, sexually transmitted infections (STI) testing, and treatment.

Results Pelvic inflammatory disease was diagnosed in more than 9% of women with a chief complaint of abdominal/pelvic pain. Most diagnosed cases underwent some STI testing, and 40% tested positive. Seventy percent of cases received antibiotics recommended by the Centers for Disease Control and Prevention.

Conclusions There is a high prevalence of PID among adolescents in the pediatric ED. Rates of STI testing and appropriate treatment reveal gaps in diagnosis and management, representing a lost opportunity for identification and treatment of PID/STIs among high-risk adolescents.

From the *Children's National Health System; and

The George Washington University, Washington, DC; and

The Children's Hospital of Philadelphia, Philadelphia, PA.

Disclosure: The authors declare no conflict of interest.

Reprints: Monika K. Goyal, MD, MSCE, Division of Pediatric Emergency Medicine, Children's National Health System, The George Washington University, 111 Michigan Ave NW, Washington, DC 20010 (e-mail: mgoyal@childrensnational.org).

Supported by award number K23HD070910 from NICHD (M.K.G.). The funding sources had no role in (1) study design; (2) the collection, analysis, and interpretation of data; (3) the writing of the report; or (4) the decision to submit the article for publication. This funding was not given for the production of this article. No other grants, honorariums, or other forms of payment were given to the authors of this manuscript.

Online date: April 24, 2017

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