Cervicitis: Difference between revisions

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==Treatment==
==Treatment==
[[Cervicitis medical therapy|Medical therapy]] | [[Cervicitis surgery|Surgical options]] | [[Cervicitis primary prevention|Primary prevention]]  | [[Cervicitis secondary prevention|Secondary prevention]] | [[Cervicitis cost-effectiveness of therapy|Financial costs]] | [[Cervicitis future or investigational therapies|Future therapies]]
[[Cervicitis medical therapy|Medical therapy]] | [[Cervicitis surgery|Surgical options]] | [[Cervicitis primary prevention|Primary prevention]]  | [[Cervicitis secondary prevention|Secondary prevention]] | [[Cervicitis cost-effectiveness of therapy|Financial costs]] | [[Cervicitis future or investigational therapies|Future therapies]]
==Mucopurulent cervicitis==
'''Mucopurulent cervicitis''' (MPC) is characterized by a [[purulent]] or mucopurulent endocervical exudate visible in the endocervical canal or in an endocervical swab specimen. Some specialists also diagnose MPC on the basis of easily induced cervical bleeding. Although some specialists consider an increased number of [[polymorphonuclear leukocytes]] on endocervical Gram stain as being useful in the diagnosis of MPC, this criterion has not been standardized, has a low positive-predictive value (PPV), and is not available in some settings. MPC often is asymptomatic, but some women have an abnormal vaginal discharge and vaginal bleeding (e.g., after [[sexual intercourse]]). MPC can be caused by [[C. trachomatis]] or [[N. gonorrheae]]; however, in most cases neither organism can be isolated. MPC can persist despite repeated courses of antimicrobial therapy. Because relapse or reinfection with C. trachomatis or N. gonorrhoeae usually does not occur in persons with persistent cases of MPC, other non-microbiologic determinants (e.g., inflammation in the zone of ectopy) might be involved.
Patients who have MPC should be tested for [[C. trachomatis]] and for [[N. gonorrhoeae]] with the most sensitive and specific test available. However, MPC is not a sensitive predictor of infection with these organisms; most women who have C. trachomatis or N. gonorrhoeae do not have MPC.
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 14:39, 27 January 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Additional Resources

  • Centers for Disease Control and Prevention. Diseases characterized by urethritis and cervicitis. Sexually transmitted diseases treatment guidelines. MMWR Recomm Rep 2002 10 May; 51 (RR-6):30-42.
  • Much of an earlier version of this article was taken from the public domain document "Diseases characterized by urethritis and cervicitis. Sexually transmitted diseases treatment guidelines 2002." which can be found at http://www.guideline.gov/summary/summary.aspx?doc_id=3236

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