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New PID diagnostic rules boost number of cases.(CDC's 2002 Diagnostic Revision)

OB GYN News

| July 15, 2003 | Zoler, Mitchel L. | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

PHILADELPHIA -- Looser diagnostic criteria for pelvic inflammatory disease mean that more patients are getting diagnosed with the disease.

It stood to reason that when the Centers for Disease Control and Prevention broadened its definition of pelvic inflammatory disease (PID) last year more patients would be diagnosed.

Now it's been proven in a study with 315 adolescent girls.

"As expected, the new CDC criteria raised the prevalence and incidence of PID," Dr. Andrea T. Bortot said during the annual meeting of the North American Society for Pediatric and Adolescent Gynecology.

She and her associates tallied the prevalence and incidence of PID among teenage girls at the juvenile detention center in Harris County, Texas, last year, and compared the rates with those from a similar survey in 2000.

In 2002, the CDC's guidelines defined PID as uterine tenderness, adnexal tenderness, or cervical motion tenderness (MMWR 51[RR-6]: 1-78, 2002). Before these guidelines were introduced, PID had been defined as both cervical motion tenderness and abdominal or adnexal tenderness.

From March 2002 to January 2003, 315 nonpregnant, sexually active girls were incarcerated at the juvenile detention center in Harris County.

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