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Pelvic inflammatory disease in women with endometriosis is more severe than in those without
Aims To determine the incidence and severity of acute pelvic inflammatory disease (PID) or tubo‐ovarian abscess (TOA) in hospitalised women with and without a history of endometriosis. Methods Retrospective analysis of hospital records retrieved for all women hospitalised with PID or TOA between Jan...
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Published in: | Australian & New Zealand journal of obstetrics & gynaecology 2014-04, Vol.54 (2), p.162-165 |
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container_title | Australian & New Zealand journal of obstetrics & gynaecology |
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creator | Elizur, Shai E. Lebovitz, Oshrit Weintraub, Adi Y. Eisenberg, Vered H. Seidman, Daniel S. Goldenberg, Mordechai Soriano, David |
description | Aims
To determine the incidence and severity of acute pelvic inflammatory disease (PID) or tubo‐ovarian abscess (TOA) in hospitalised women with and without a history of endometriosis.
Methods
Retrospective analysis of hospital records retrieved for all women hospitalised with PID or TOA between January 2008 and December 2011 in a tertiary referral centre. Women were compared with regard to a history of endometriosis for demographic, clinical and fertility data.
Results
26 (15%) of the 174 women hospitalised due to PID or TOA were excluded because of age older than 45 years, leaving 148 for analysis. The mean age was 35.7 ± 9.3 years and mean duration of hospitalisation was 5.9 ± 3.7 days. The women were divided into two groups: Group 1 with endometriosis (n = 21) and Group 2 without endometriosis (n = 127). Women in Group 1 as compared with Group 2 were significantly more likely to have undergone a fertility procedure prior to being admitted to the hospital with PID (9/27 (45%) vs 22/121 (17%), P |
doi_str_mv | 10.1111/ajo.12189 |
format | article |
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To determine the incidence and severity of acute pelvic inflammatory disease (PID) or tubo‐ovarian abscess (TOA) in hospitalised women with and without a history of endometriosis.
Methods
Retrospective analysis of hospital records retrieved for all women hospitalised with PID or TOA between January 2008 and December 2011 in a tertiary referral centre. Women were compared with regard to a history of endometriosis for demographic, clinical and fertility data.
Results
26 (15%) of the 174 women hospitalised due to PID or TOA were excluded because of age older than 45 years, leaving 148 for analysis. The mean age was 35.7 ± 9.3 years and mean duration of hospitalisation was 5.9 ± 3.7 days. The women were divided into two groups: Group 1 with endometriosis (n = 21) and Group 2 without endometriosis (n = 127). Women in Group 1 as compared with Group 2 were significantly more likely to have undergone a fertility procedure prior to being admitted to the hospital with PID (9/27 (45%) vs 22/121 (17%), P < 0.001); particularly in vitro fertilisation (IVF) (7/ 27 (33%) vs 12/121 (9%), P < 0.006); Women in Group 1 more frequently experienced a severe and complicated course involving longer duration of hospitalisation (8.8 ± 4.7 vs 4.4 ± 2.3 days, P < 0.0001) and antibiotic treatment failure (10/27 (48%) vs 8/121 (6%), P < 0.0001).
Conclusions
Pelvic inflammatory disease in women with endometriosis is more severe and refractory to antibiotic treatment, often requiring surgical intervention. It is likely that endometriosis is a risk factor for the development of severe PID, particularly after IVF treatment.</description><identifier>ISSN: 0004-8666</identifier><identifier>EISSN: 1479-828X</identifier><identifier>DOI: 10.1111/ajo.12189</identifier><identifier>PMID: 24576163</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adult ; Anti-Bacterial Agents - therapeutic use ; Drug Resistance, Microbial ; endometriosis ; Endometriosis - complications ; Female ; Fertilization in Vitro - adverse effects ; Humans ; in vitro fertilisation ; laparoscopy ; Middle Aged ; Parity ; pelvic inflammatory disease ; Pelvic Inflammatory Disease - classification ; Pelvic Inflammatory Disease - drug therapy ; Pelvic Inflammatory Disease - etiology ; Retrospective Studies ; Risk Factors ; Severity of Illness Index ; tubo-ovarian abscess</subject><ispartof>Australian & New Zealand journal of obstetrics & gynaecology, 2014-04, Vol.54 (2), p.162-165</ispartof><rights>2014 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists</rights><rights>2014 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3639-e1b273e6c4bb765551907a782c47e3273951d5fa9f557365a545d1496dd203b23</citedby><cites>FETCH-LOGICAL-c3639-e1b273e6c4bb765551907a782c47e3273951d5fa9f557365a545d1496dd203b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24576163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elizur, Shai E.</creatorcontrib><creatorcontrib>Lebovitz, Oshrit</creatorcontrib><creatorcontrib>Weintraub, Adi Y.</creatorcontrib><creatorcontrib>Eisenberg, Vered H.</creatorcontrib><creatorcontrib>Seidman, Daniel S.</creatorcontrib><creatorcontrib>Goldenberg, Mordechai</creatorcontrib><creatorcontrib>Soriano, David</creatorcontrib><title>Pelvic inflammatory disease in women with endometriosis is more severe than in those without</title><title>Australian & New Zealand journal of obstetrics & gynaecology</title><addtitle>Aust N Z J Obstet Gynaecol</addtitle><description>Aims
To determine the incidence and severity of acute pelvic inflammatory disease (PID) or tubo‐ovarian abscess (TOA) in hospitalised women with and without a history of endometriosis.
Methods
Retrospective analysis of hospital records retrieved for all women hospitalised with PID or TOA between January 2008 and December 2011 in a tertiary referral centre. Women were compared with regard to a history of endometriosis for demographic, clinical and fertility data.
Results
26 (15%) of the 174 women hospitalised due to PID or TOA were excluded because of age older than 45 years, leaving 148 for analysis. The mean age was 35.7 ± 9.3 years and mean duration of hospitalisation was 5.9 ± 3.7 days. The women were divided into two groups: Group 1 with endometriosis (n = 21) and Group 2 without endometriosis (n = 127). Women in Group 1 as compared with Group 2 were significantly more likely to have undergone a fertility procedure prior to being admitted to the hospital with PID (9/27 (45%) vs 22/121 (17%), P < 0.001); particularly in vitro fertilisation (IVF) (7/ 27 (33%) vs 12/121 (9%), P < 0.006); Women in Group 1 more frequently experienced a severe and complicated course involving longer duration of hospitalisation (8.8 ± 4.7 vs 4.4 ± 2.3 days, P < 0.0001) and antibiotic treatment failure (10/27 (48%) vs 8/121 (6%), P < 0.0001).
Conclusions
Pelvic inflammatory disease in women with endometriosis is more severe and refractory to antibiotic treatment, often requiring surgical intervention. It is likely that endometriosis is a risk factor for the development of severe PID, particularly after IVF treatment.</description><subject>Adult</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Drug Resistance, Microbial</subject><subject>endometriosis</subject><subject>Endometriosis - complications</subject><subject>Female</subject><subject>Fertilization in Vitro - adverse effects</subject><subject>Humans</subject><subject>in vitro fertilisation</subject><subject>laparoscopy</subject><subject>Middle Aged</subject><subject>Parity</subject><subject>pelvic inflammatory disease</subject><subject>Pelvic Inflammatory Disease - classification</subject><subject>Pelvic Inflammatory Disease - drug therapy</subject><subject>Pelvic Inflammatory Disease - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>tubo-ovarian abscess</subject><issn>0004-8666</issn><issn>1479-828X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kF9PwjAUxRujEUQf_AJmj_owaNe13R4JEdQQNVGjDyZNt92F4kaxHSDf3iJ_3mxuenNvf-ekOQhdEtwl_vTU1HRJRJL0CLVJLNIwiZKPY9TGGMdhwjlvoTPnphiTlJH4FLWimAlOOG2jz2eoljoP9KysVF2rxth1UGgHyoFfBitTg791MwlgVvihsdo47QJftbEQOFiCb81EzTZ8MzFeuOHNojlHJ6WqHFzsege9DW9fB3fh-Gl0P-iPw5xymoZAskhQ4HmcZYIzxkiKhRJJlMcCqH_yvy5YqdKSMUE5UyxmBYlTXhQRpllEO-h66zu35nsBrpG1djlUlZqBWThJGIm8rUioR2-2aG6NcxZKObe6VnYtCZabMKUPU_6F6dmrne0iq6E4kPv0PNDbAitdwfp_J9l_eNpbhluFdg38HBTKfkkuqGDy_XEkMWckIcOxfKG_jIiMxA</recordid><startdate>201404</startdate><enddate>201404</enddate><creator>Elizur, Shai E.</creator><creator>Lebovitz, Oshrit</creator><creator>Weintraub, Adi Y.</creator><creator>Eisenberg, Vered H.</creator><creator>Seidman, Daniel S.</creator><creator>Goldenberg, Mordechai</creator><creator>Soriano, David</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201404</creationdate><title>Pelvic inflammatory disease in women with endometriosis is more severe than in those without</title><author>Elizur, Shai E. ; Lebovitz, Oshrit ; Weintraub, Adi Y. ; Eisenberg, Vered H. ; Seidman, Daniel S. ; Goldenberg, Mordechai ; Soriano, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3639-e1b273e6c4bb765551907a782c47e3273951d5fa9f557365a545d1496dd203b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Drug Resistance, Microbial</topic><topic>endometriosis</topic><topic>Endometriosis - complications</topic><topic>Female</topic><topic>Fertilization in Vitro - adverse effects</topic><topic>Humans</topic><topic>in vitro fertilisation</topic><topic>laparoscopy</topic><topic>Middle Aged</topic><topic>Parity</topic><topic>pelvic inflammatory disease</topic><topic>Pelvic Inflammatory Disease - classification</topic><topic>Pelvic Inflammatory Disease - drug therapy</topic><topic>Pelvic Inflammatory Disease - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>tubo-ovarian abscess</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elizur, Shai E.</creatorcontrib><creatorcontrib>Lebovitz, Oshrit</creatorcontrib><creatorcontrib>Weintraub, Adi Y.</creatorcontrib><creatorcontrib>Eisenberg, Vered H.</creatorcontrib><creatorcontrib>Seidman, Daniel S.</creatorcontrib><creatorcontrib>Goldenberg, Mordechai</creatorcontrib><creatorcontrib>Soriano, David</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australian & New Zealand journal of obstetrics & gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elizur, Shai E.</au><au>Lebovitz, Oshrit</au><au>Weintraub, Adi Y.</au><au>Eisenberg, Vered H.</au><au>Seidman, Daniel S.</au><au>Goldenberg, Mordechai</au><au>Soriano, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pelvic inflammatory disease in women with endometriosis is more severe than in those without</atitle><jtitle>Australian & New Zealand journal of obstetrics & gynaecology</jtitle><addtitle>Aust N Z J Obstet Gynaecol</addtitle><date>2014-04</date><risdate>2014</risdate><volume>54</volume><issue>2</issue><spage>162</spage><epage>165</epage><pages>162-165</pages><issn>0004-8666</issn><eissn>1479-828X</eissn><abstract>Aims
To determine the incidence and severity of acute pelvic inflammatory disease (PID) or tubo‐ovarian abscess (TOA) in hospitalised women with and without a history of endometriosis.
Methods
Retrospective analysis of hospital records retrieved for all women hospitalised with PID or TOA between January 2008 and December 2011 in a tertiary referral centre. Women were compared with regard to a history of endometriosis for demographic, clinical and fertility data.
Results
26 (15%) of the 174 women hospitalised due to PID or TOA were excluded because of age older than 45 years, leaving 148 for analysis. The mean age was 35.7 ± 9.3 years and mean duration of hospitalisation was 5.9 ± 3.7 days. The women were divided into two groups: Group 1 with endometriosis (n = 21) and Group 2 without endometriosis (n = 127). Women in Group 1 as compared with Group 2 were significantly more likely to have undergone a fertility procedure prior to being admitted to the hospital with PID (9/27 (45%) vs 22/121 (17%), P < 0.001); particularly in vitro fertilisation (IVF) (7/ 27 (33%) vs 12/121 (9%), P < 0.006); Women in Group 1 more frequently experienced a severe and complicated course involving longer duration of hospitalisation (8.8 ± 4.7 vs 4.4 ± 2.3 days, P < 0.0001) and antibiotic treatment failure (10/27 (48%) vs 8/121 (6%), P < 0.0001).
Conclusions
Pelvic inflammatory disease in women with endometriosis is more severe and refractory to antibiotic treatment, often requiring surgical intervention. It is likely that endometriosis is a risk factor for the development of severe PID, particularly after IVF treatment.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>24576163</pmid><doi>10.1111/ajo.12189</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Anti-Bacterial Agents - therapeutic use Drug Resistance, Microbial endometriosis Endometriosis - complications Female Fertilization in Vitro - adverse effects Humans in vitro fertilisation laparoscopy Middle Aged Parity pelvic inflammatory disease Pelvic Inflammatory Disease - classification Pelvic Inflammatory Disease - drug therapy Pelvic Inflammatory Disease - etiology Retrospective Studies Risk Factors Severity of Illness Index tubo-ovarian abscess |
title | Pelvic inflammatory disease in women with endometriosis is more severe than in those without |
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