부산대학교 도서관

Objective: This study aimed to evaluate the comparison of strains of pelvic inflammatory disease(PID) and tubo-ovarian abscess(TOA) to provide necessary data for treatment and counseling of the inflammatory diseases of the female genital tract. Methods: This retrospective case-control study was conducted with 264 patients with confirmed PID and 153 patients with confirmed TOA at Inje University Busan Paik Hospital from 2010 to 2019. Endocervical swabs were aseptically collected from Pelvic infammatory patients and TOA patients for comparing between the each groups to evaluate the strains for the diseases. Results: Sexual transmitted organisms encountered in PID were Ureaplasma urealyticum(49.2%, n=130), Chlamydia trachomatis(36.4%, n=96), Mycoplasma hominis(25.0%, n=66), Neisseria gonorrhea(6.4%, n=17), Mycoplasma genitalium(1.9%,n=5), and Trichomonas(1.1%, n=3). And also Gram stain organisms encountered in pelvic inflammatory diseases were Gram(+) cocci(9%, n=42), Gram(-) rod(15.5%, n=41), Escherichia coli(11.4%, n=30), Candida albicans(6.4%, n=17), Extended-spectrum-lactamase(3.8%, n=10) and Gram(+) rod(2.3%, n=6). In TOA, Sexual transmitted organisms encountered were Ureaplasma urealyticum(35.3%, n=54), Chlamydia trachomatis(16.3%, n=25), Mycoplasma hominis(23.5%, n=36), Mycoplasma genitalium(2.6%, n=4), Neisseria gonorrhea(1.3%, n=2), and Trichomonas(0.7%, n=1). And also Gram stain organisms encountered were Gram(+) cocci(20.3%, n=31), Gram(-) rod(19.0%, n=29), Escherichia coli(13.7%, n=21), Gram(+) rod(12.4%, n=19), Candida albicans(5.2%, n=8), Extended-spectrum-lactamase(2.6%, n=4). Conclusion: According to our study, TOA had a higher proportion of non-sexual transmitted infection strains than PID. Based on this, in PID and TOA, it would be effective to use antibiotics that can cover non-sexual transmitted infection, including gram(+) cocci and gram(-) rod. In TOA in particular, it is considered to be essential to use antibiotics that can cover non-std infection.