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Contrastive interpretation of diagnosis and treatment norms of pelvic inflammatory diseases in China and the United States |
LI Ting LIU Zhaohui |
Department of Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University Beijing Maternal and Child Health Care Hospital, Beijing 100026, China
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Abstract Pelvic inflammatory disease (PID) is one of the common diseases of women of childbearing age, which can lead to sequelae such as tubal infertility, ectopic pregnancy, and chronic pelvic pain, and cause great harm to female reproductive health. In 2021, the Centers for Disease Control and Prevention (CDC) issued Sexually Transmitted Infections Treatment Guidelines, 2021 (“2021 CDC guidelines” for short), completing a significant update to Sexually Transmitted Diseases Treatment Guidelines, 2015 (“2015 CDC guidelines” for short), most of the symptoms and signs of PID are mild or latent, so the diagnosis still relies on the minimum clinical standards. The treatment is mainly based on the use of broad spectrum, empirical antibiotics covering all possible pathogens, emphasizing the addition of metronidazole to cover anaerobic bacteria. Different intravenous and non-intravenous drug regimens have shown good efficacy. This paper compares the 2021 CDC guidelines, 2015 CDC guidelines, and Chinese Guidelines for Diagnosis and Treatment of Pelvic Inflammatory Diseases (2019 Revision), in order to provide reference and help for the current clinical practice of PID in China.
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