PURPOSE: In 2002, the Centers for Disease Control and Prevention (CDC) broadened the pelvic inflammatory disease (PID) diagnostic criteria to increase detection and prevent serious sequelae of untreated PID. The impact of this change on PID detection is unknown. Our objectives were to estimate trends in PID diagnosis among adolescent emergency department (ED) patients before and after the revised CDC definition and to identify factors associated with PID diagnoses. METHODS: We performed a retrospective repeated cross-sectional study using the National Hospital Ambulatory Medical Care Survey from 2000 to 2009 of ED visits by 14- to 21-year-old females. We calculated national estimates of PID rates and performed multivariable logistic regression analyses and tests of trends. RESULTS: During 2000-2009, of the 77 million female adolescent ED visits, there were an estimated 704,882 (95% confidence interval [CI], 571,807-837,957) cases of PID. After the revised criteria, PID diagnosis declined from 5.4 cases per 1,000 United States adolescent females to 3.9 cases per 1,000 (p = .03). In a multivariable model, age ≥17 years (odds ratio, 2.14; 95% CI, 1.25-3.64) and black race (odds ratio, 2.04; 95% CI, 1.36-3.07) were associated with PID diagnosis. CONCLUSIONS: Despite broadened CDC diagnostic criteria, PID diagnoses did not increase over time. This raises concern about awareness and incorporation of the new guidelines into clinical practice.
PURPOSE: In 2002, the Centers for Disease Control and Prevention (CDC) broadened the pelvic inflammatory disease (PID) diagnostic criteria to increase detection and prevent serious sequelae of untreated PID. The impact of this change on PID detection is unknown. Our objectives were to estimate trends in PID diagnosis among adolescent emergency department (ED) patients before and after the revised CDC definition and to identify factors associated with PID diagnoses. METHODS: We performed a retrospective repeated cross-sectional study using the National Hospital Ambulatory Medical Care Survey from 2000 to 2009 of ED visits by 14- to 21-year-old females. We calculated national estimates of PID rates and performed multivariable logistic regression analyses and tests of trends. RESULTS: During 2000-2009, of the 77 million female adolescent ED visits, there were an estimated 704,882 (95% confidence interval [CI], 571,807-837,957) cases of PID. After the revised criteria, PID diagnosis declined from 5.4 cases per 1,000 United States adolescent females to 3.9 cases per 1,000 (p = .03). In a multivariable model, age ≥17 years (odds ratio, 2.14; 95% CI, 1.25-3.64) and black race (odds ratio, 2.04; 95% CI, 1.36-3.07) were associated with PID diagnosis. CONCLUSIONS: Despite broadened CDC diagnostic criteria, PID diagnoses did not increase over time. This raises concern about awareness and incorporation of the new guidelines into clinical practice.
Authors: Michael L Rekart; Mark Gilbert; Rafael Meza; Paul H Kim; Michael Chang; Deborah M Money; Robert C Brunham Journal: J Infect Dis Date: 2012-10-24 Impact factor: 5.226
Authors: Maria Trent; Jamie Perin; Julia Rowell; Maunank Shah; Jennifer Anders; Pamela Matson; Rebecca M Brotman; Jacques Ravel; Phyllis Sharps; Richard Rothman; Hasiya E Yusuf; Charlotte A Gaydos Journal: J Infect Dis Date: 2021-08-16 Impact factor: 7.759
Authors: Arlene M Butz; Charlotte Gaydos; Shang-En Chung; Betty H Johnson; Steven Huettner; Maria Trent Journal: Clin Pediatr (Phila) Date: 2016-08-08 Impact factor: 1.168
Authors: Maria Trent; Shang-En Chung; Charlotte Gaydos; Kevin D Frick; Jennifer Anders; Steven Huettner; Richard Rothman; Arlene Butz Journal: Eur Med J Reprod Health Date: 2016-08
Authors: Andria Apostolou; Christina Chapman; Marissa Person; Kristen Kreisel; Jeffrey McCollum Journal: Am J Public Health Date: 2018-09-25 Impact factor: 9.308
Authors: Laura Dize; Diana Martin; Sarah Gwyn; Jamie Perin; Charlotte Gaydos; Maria Trent Journal: Int J STD AIDS Date: 2018-07-27 Impact factor: 1.359
Authors: Gloria E Anyalechi; Harold C Wiesenfeld; Robert D Kirkcaldy; Dmitry M Kissin; Catherine L Haggerty; Karen R Hammond; Edward W Hook; Kyle T Bernstein; Michael P Steinkampf; William M Geisler Journal: Sex Transm Dis Date: 2021-10-01 Impact factor: 3.868
Authors: Jennifer Anders; Alexandra Hill; Shang-En Chung; Arlene Butz; Richard Rothman; Charlotte Gaydos; Jamie Perin; Maria Trent Journal: Trauma Emerg Care Date: 2017-08-25