Pelvic Inflammatory Disease- Management
Inform
Registrar who will review the patient after admission (preferably before
initiating treatment).
Treatment
-
Remove IUCD after consultation with
the registrar or higher grade.
Send to microbiology (with clinical
details) to exclude actinomycosis.
(Do not send all removed
IUCDs: only those from patients with suspected PID)
-
Antibiotic treatment
-
Analgesia and anti-emetics, as
required (paracetamol/ dihydrococeine /diclofenac /other opiates)
-
4-hourly temperature, pulse &
respiration checks
-
Consider laparoscopy if no
improvement in pain and/or temperature after 24 hours of antibiotic treatment
(take swabs for culture and sensitivities laparoscopically) – emergency list.
-
Discharge information should
include safer sexual practices, and referral of patient and partner to GUM
clinic for investigations/treatment/contact tracing if necessary.
The Full Guideline "Antibiotic Guideline for Acute Pelvic Inflammatory
Disease" is available
here.
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