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Revista chilena de obstetricia y ginecología

On-line version ISSN 0717-7526

Abstract

BAQUEDANO MAINAR, Laura; LAMARCA BALLESTERO, Marta; PUIG FERRER, Fernando  and  RUIZ CONDE, Miguel Angel. Enfermedad inflamatoria pélvica: un reto en el diagnóstico y tratamiento precoz. Rev. chil. obstet. ginecol. [online]. 2014, vol.79, n.2, pp.115-120. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262014000200009.

Aim: Update the pelvic inflammatory disease to standardize diagnostic and therapeutic criteria and to minimize its complications in the short and/or long term. Method: Search in Pubmed with especial attention to clinical guidelines and randomized clinical trials. Results: Pelvic inflammatory disease is a common infectious condition among women of fertile age. Its mechanism is the most common sexually transmitted shared risk factors and other sexually transmitted disease. Its clinical diagnosis can be complex and subclinical forms can sometimes go unnoticed. Usually it's indicated to start with medical treatment following the recommended guidelines, and if the patient does not improve or has a severe case, hospitalization and intravenous medical treatment is indicated, reserving surgery for those cases in which fail the above steps. Conclusion: It is essential to recognize this entity and establish early antibiotic treatment, so that a delay in appropriate antibiotic treatment, can lead to an increase in inflammatory short and long term sequelae.

Keywords : Pelvis inflammatory disease; chlamydia trachomatis; neisseria gonorrhoeae; endometritis; salpingitis.

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