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Chan Y, Parchment W, Skurnick JH, et al. Epidemiology and clinical outcome of patients hospitalized with pelvic inflammatory disease complicated by tubo-ovarian abscess. Infect Dis Obstet Gynecol. 1995;3(4):135-9doi: 10.1155/S1064744995000470.
Chan, Y., Parchment, W., Skurnick, J. H., Goldsmith, L., & Apuzzio, J. J. (1995). Epidemiology and clinical outcome of patients hospitalized with pelvic inflammatory disease complicated by tubo-ovarian abscess. Infectious diseases in obstetrics and gynecology, 3(4), 135-9. https://doi.org/10.1155/S1064744995000470
Chan, Y, et al. "Epidemiology and clinical outcome of patients hospitalized with pelvic inflammatory disease complicated by tubo-ovarian abscess." Infectious diseases in obstetrics and gynecology vol. 3,4 (1995): 135-9. doi: https://doi.org/10.1155/S1064744995000470
Chan Y, Parchment W, Skurnick JH, Goldsmith L, Apuzzio JJ. Epidemiology and clinical outcome of patients hospitalized with pelvic inflammatory disease complicated by tubo-ovarian abscess. Infect Dis Obstet Gynecol. 1995;3(4):135-9. doi: 10.1155/S1064744995000470. PMID: 18476036; PMCID: PMC2364435.
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Infect Dis Obstet Gynecol. 1995;3(4):135-9. doi: 10.1155/S1064744995000470.

Epidemiology and clinical outcome of patients hospitalized with pelvic inflammatory disease complicated by tubo-ovarian abscess.

Infectious diseases in obstetrics and gynecology

Y Chan, W Parchment, J H Skurnick, L Goldsmith, J J Apuzzio

Affiliations

  1. Department of Obstetrics and Gynecology New Jersey Medical School 185 South Orange Avenue, Newark, NJ 07103, USA.

PMID: 18476036 PMCID: PMC2364435 DOI: 10.1155/S1064744995000470

Abstract

OBJECTIVE: The purpose of this retrospective study was to compare the clinical outcome and characteristics of pelvic inflammatory disease (PID) complicated by tubo-ovarian abscess (TOA) with PID without TOA.

METHODS: Chart reviews were performed for all PID admissions to the University of Medicine and Dentistry of New Jersey-University Hospital, Newark, NJ, from January 1, 1992, to December 31, 1993.

RESULTS: The incidence in this study of TOA based on sonographic evidence of a complex adnexal mass was 18%. The major differences between the patients with and without TOAs were 1) history of hospitalization for PID: 68% (13/19) vs. 29% (25/85); 2) increased erythrocyte sedimentation rate: 82 vs. 41 mm/h; 3) increased WBC count on admission: 16,200 vs. 14,700/ml; 4) failure to respond to initial antibiotic therapy; and 5) longer hospital stay: 7.8 vs. 4.4 days, respectively. Surgical intervention was required in 3 patients: 2 patients who had TOAs and 1 patient who did not have a TOA by clinical examination or by ultrasound.

CONCLUSIONS: Despite longer hospital stays and blood tests suggesting more severe disease processes, PID complicated by TOA is usually responsive to intravenous (IV) antibiotic therapy without the need for surgical intervention.

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