Pelvic inflammatory disease diagnostic criteria

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Diagnostic Criteria

CDC has developed a diagnostic criteria for prompt treatment of PID based on clinical manifestations to minimize its sequelae.

Minimum diagnostic criteria (at least 1 must be present)				Additional diagnostic criteria (at least 1 must be present), increases specificity					Definitive diagnostic criteria
Cervical motion tenderness				Oral temperature > 101F (> 38.3C)					Endometrial biopsy with histopathological evidence of endometritis
Uterine tenderness				Abnormal cervical mucopurulent discharge or cervical friability
Adnexal Tenderness				Presence of abundant numbers of WBC on saline microscopy of vaginal fluid					Transvaginal ultrasound or MRI showing thickened, fluid-filled tubes with or without free pelvic fluid or tubo-ovarian complex, or doppler studies suggesting pelvic infection (e.g., tubal hyperemia)
				Elevated erythrocyte sedimentation rate
				Elevated C-reactive protein
				Laboratory documentation of cervical infection,N. gonorrhoeae,or,C. trachomat					Laporoscopic findings consistent with PID