presented by:RABIATU BELLO YABO
integral university lucknow
13/june/2021
updated by:ABUBAKAR USMAN
Pelvic inflammatory disease
CONTENTs
• Introduction
•Definition
•Causes
•Risk factors
• Sign and symptoms
•Diagnosis
•Management
•Prevention
INTRODUCTION
Well when we say pelvic inflammatory disease we are referring to a women's genital organs
So,
PID is an infection of females reproductive organs that's
Fallopian tubes, bladder, ovary, uterus, urethra, cervix, rectum, pubic bone, anus etc
DEFINITION
Pelvic inflammatory disease or PID is a clinical syndrome associated with ascending spread of microorganisms from the vagina or cervix to the endometrium, fallopian tubes,ovaries and contagious structures.
STDs (sexual transmitted disease) is the most common and serious complication of PID
HOW DO WOMEN GET PID .
Bacteria move upward from vagina or cervix into reproductive organs and it cause scarring or blockage of tubes around the area.
CAUSES
Most common causes are:
* N.gonorrhoeae and
* Chlamydia trachomatous
RISK FACTORS
• History of PID
• Adolescence
• Gonorrhea or Chlamydia
• multiple partners
• current Douching
•Bacterial Vaginosis
• Insertion of IUD ( intrauterine device)
And
• Male partners with Gonorrhea or Chlamydia
SYMPTOMS
* Lower abdominal pain
* Pain during sex or after sex
* Bleeding between periods
* Lower back pain
* Swelling in the lower abdomen
*Fever ( often with chills)
*Abnormal vaginal discharge
* Feeling tired
*Dysuria
*Nausea, vomiting and dizziness
* Leg pain also
DIAGNOSIS
We have so many diagnosis evaluation like
•Physical examination
• Cervical swabs test
• pregnancy test
•Ultrasound
• Endometrial biopsy
• Elevated ESR
•Positive Chlamydia test
MANAGEMENT
Medical management
Includes.
Some Antibiotics e.g 3rd generating cephalosporins,
Metronidazole,
Doxycycline,
Gentamicin,
Azithromycin
Clindamycin .
SURGICAL MANAGEMENT
•Ruptured abscess invade to peritoneum.
•Failure medical treatment 48-72hrs.
NURSING MANAGEMENT
Include
follow up...
*Full sexual health scanning.
* Also sex partner will need to be tested for STDs
* Patient are instructed to return to the hospital if their symptoms worsen.
PREVENTION
Includes
*Having regular partner
*And by practicing safe sex
*And also screening (annual Chlamydia screen is recommended
COMPLICATIONS
Includes
* Recurrent PID
* Rupture abscess
* Chronic pain
* Ectopic pregnancy
* Infertility
See also:
https://dailynurseactivities.blogspot.com/2021/06/female-reproductive-system-anatomy-and.html