Delgado 1 Running Head: Pelvic Inflammatory Disease

Pelvic Inflammatory Disease Professor Leila Khatib HSCI 451- Epidemiology Maria Delgado California State University, San Bernardino March o1, 2012

Delgado 2 Running Head: Pelvic Inflammatory Disease

I.

Describe or Define Disease or Injury Pelvic inflammatory disease (PID) is considered an important public health problem in the United States because is a common infection that causes infertility in women. Acute PID is said to be a polymicrobic infection involving microorganisms that carry an anaerobic bacterium that is very commonly connected to bacterial vaginitis. The other 15 percent are causes from gynecological procedures such as inserting an IUD (intrauterine device), an abortion and hysterosalpingography (an x-ray done to look inside womens fallopian tubes). These procedures have to open the cervix in which case it permits the bacteria to move up into the female organ in where it can cause infection. As a result, these infections lead to major complications in the future such as a pelvic inflammatory disease if not treated appropriately.

II.

Etiology The Pelvic Inflammatory Disease Evaluation and Clinical Health (PEACH) study, dealt with a study of treatments ranging from mild to sensible acute PID in the United States. A random sample was chosen to compare inpatient with outpatient treatment procedures. Patients were randomized by various types of treatments. One of PEACH clinical studies showed demonstrations of bacterial vaginosis on a womens upper genital area from an endometritis infection in which has shown a gynecological severe chronic pain in women after a PID. A clinical diagnosis may be hard to determine in a patient with a PID. A diagnosis cannot be made with a simple visit to the doctor. A doctor has to focus on the concepts of sensitivity and specificity to determine which test will bring the best positive efficient