Pelvic Inflammatory Disease

Decision

Does the patient have any clear indication for admission?

Hemodynamic instability
Pregnancy
Tubo-ovarian abscess
Oral intake intolerance
Failed outpatient antibiotics

Does the patient have:

Significant barriers to medication compliance?
Significant barriers to re-evaluation in 48-72 hours?

Yes

Background

“Most patients with mild to moderately severe PID can be treated as outpatients with a combination of IM and oral therapies. Inpatient/intravenous (IV) therapy should be reserved for pregnant patients, patients unable to tolerate or comply with the oral regimen, or if there is uncertainty about the appropriateness of the oral regimen. Inpatient/IV therapy should also be considered in patients who present with signs of pelvic peritonitis, are septic-appearing, have no improvement in symptoms within 72 hours, or in whom surgical emergencies cannot reliably be excluded from the differential.”

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Pelvic Inflammatory Disease: Diagnosis and Treatment in the Emergency Department (Infectious Disease CME credits and Pharmacology CME) | EB Medicine

About This Issue Case Presentations Introduction Critical Appraisal of the Literature Etiology and Pathophysiology Pelvic Inflammatory Disease Pathogens Pelvic Examination Differential Diagnosis Prehospital Care Emergency Department Evaluation History Pelvic Examination Physical Examination Diagnostic Studies Laboratory Testing Imaging Treatment Mild to Moderately Severe Pelvic Inflammatory Disease Patients With Antibiotic Allergies Severe

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Pelvic Inflammatory Disease: Diagnosis and Treatment in the Emergency Department (Infectious Disease CME credits and Pharmacology CME) | EB Medicine

Full PID And Need For Admission Pathways

IV Antibiotics

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Outpatient PID Therapy