학술논문

Etiology and Diagnosis of Pelvic Inflammatory Disease: Looking Beyond Gonorrhea and Chlamydia.
Document Type
article
Source
The Journal of Infectious Diseases. 224(12 Suppl 2)
Subject
Medical Microbiology
Reproductive Medicine
Biomedical and Clinical Sciences
Clinical Sciences
Clinical Research
Sexually Transmitted Infections
Urologic Diseases
Pelvic Inflammatory Disease
Infectious Diseases
Infection
Good Health and Well Being
Chlamydia Infections
Chlamydia trachomatis
Female
Gonorrhea
Humans
Mycoplasma Infections
Mycoplasma genitalium
Neisseria gonorrhoeae
Sexually Transmitted Diseases
Vagina
pelvic inflammatory disease
sexually transmitted infections
gonorrhea
chlamydia
bacterial vaginosis
Biological Sciences
Medical and Health Sciences
Microbiology
Biological sciences
Biomedical and clinical sciences
Health sciences
Language
Abstract
Pelvic inflammatory disease (PID) is a clinical syndrome that has been associated with a wide range of potential causal pathogens. Three broad groups of organisms have been isolated from the genital tract of people with PID: sexually transmitted organisms such as Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma genitalium, and Trichomonas vaginalis; bacterial vaginosis (BV)-associated species and genera such as Atopobium vaginae, Sneathia, and Megasphaera; and genera and species usually associated with the gastrointestinal or respiratory tracts such as Bacteroides, Escherichia coli, Streptococcus, or Haemophilus influenza. Although PID is often considered to be synonymous with gonorrhea or chlamydia, these pathogens are found in only one quarter to one third of people with PID, suggesting that broader screening and diagnostic and treatment strategies need to be considered to reduce the burden of PID and its associated sequelae.