- Ascending pelvic infections involving the upper genital tract commonly caused by gonococci, staphylococci, streptococci, and other pus forming organisms.
- Woman experience acute, sharp, severe aching pain on both sides of abdomen or pelvis with occasional vaginal bleeding. Assessment includes generalized infection: malaise, fever, chills, anorexia, nausea and vomiting, and tachycardia.
- Common complication is pelvic abscess, chronic PID and septic shock can occur.
- Diagnosis is through history of acute lower UTI during menses (gonococcal PID) or between periods (non-gonococcal PID); sexual patterns; contraceptive; (esp. IUD); and lab test including multiple cultures.
- Treatment of some women requires laparotomy. Usually treated with antibiotic therapy and pain management; woman should avoid sex and douching and observe regular perineal care. Bed rest for acute stage.
Pelvic Inflammatory Disease (PID)
