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Pelvic Inflammatory Disease (PID)
1996 Case Definition
Clinical case definition
A clinical syndrome resulting from the ascending
spread of microorganisms from the vagina and endocervix to the
endometrium, fallopian tubes, and/or contiguous structures. In
a female who has lower abdominal pain and who has not been diagnosed
as having an established cause other than pelvic inflammatory
disease (PID) (e.g., ectopic pregnancy, acute appendicitis, and
functional pain), all the following clinical criteria must be
present:
- Lower abdominal tenderness, and
- Tenderness with motion of the cervix, and
- Adnexal tenderness
In addition to the preceding criteria, at least
one of the following findings must also be present:
- Meets the surveillance case definition of C.
trachomatis infection or gonorrhea
- Temperature greater than 100.4 F (greater than
38.0 C)
- Leukocytosis greater than 10,000 white blood
cells/mm3
- Purulent material in the peritoneal cavity
obtained by culdocentesis or laparoscopy
- Pelvic abscess or inflammatory complex detected
by bimanual examination or by sonography
- Patient is a sexual contact of a person known
to have gonorrhea, chlamydia, or nongonococcal urethritis
Case classification
Confirmed: a case
that meets the clinical case definition
Comment
For reporting purposes, a clinician's report of
PID should be counted as a case.
See also:
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