Which of the following criteria are required to be fulfilled for hospitali- zation in a case of pelvic inflammatory disease? 1. Coexisting pregnancy 2. Mild fever and pain responding well to antibiotics 3. Suspected tubo-ovarian abscess 4. Coexistent HIV infection Select the correct answer using the code given below.
Pelvic Inflammatory Disease Hospitalization Criteria
Hospitalization for Pelvic Inflammatory Disease (PID) is typically indicated when specific severe or complicating factors are present. Let's analyze the criteria mentioned:
Criteria Necessitating Hospitalization
- 1. Coexisting pregnancy: Pregnancy complicates PID management and increases risks, often requiring inpatient care for monitoring and treatment.
- 3. Suspected tubo-ovarian abscess: A tubo-ovarian abscess (TOA) is a serious complication of PID. Its presence usually necessitates hospitalization for intravenous antibiotics and potentially surgical intervention or drainage.
- 4. Coexistent HIV infection: Patients with HIV may have a compromised immune system, making them more susceptible to severe PID and complications. Hospitalization ensures close monitoring and aggressive treatment.
Criteria NOT Necessitating Hospitalization
- 2. Mild fever and pain responding well to antibiotics: If a patient has mild symptoms (mild fever, manageable pain) that show a good response to oral antibiotics on an outpatient basis, hospitalization is generally not required.
Conclusion
Based on the analysis, the criteria requiring hospitalization for PID are coexisting pregnancy, suspected tubo-ovarian abscess, and coexistent HIV infection. Therefore, items 1, 3, and 4 are the correct criteria.
Important Questions from Infections in Genital Tract
- Monilial vaginitis is commonly associated with all EXCEPT:
- A 30 year old lady, P2L2 presents with painful unilateral swelling in vulva for 3 days. Which
of the following statements are true regarding the above case?
1. Bartholin's abscess may be the likely diagnosis
2. It is to be managed by marsupialisation
3. Gonococcus is the most common pathogenic organism
Select the correct answer using the code given below: - Which of the following is NOT a characteristic clinical feature of Bacterial Vaginosis?
A 22 year old woman comes with complaints of pain and discomfort in vaginal region. On examination there is unilateral tender swelling in the posterior half of labium minus, overlying skin is red and edematous. What is the most probable diagnosis?
- Which of the following are risk factors for developing pelvic inflammatory disease in females ?
1. Use of oral contraception pills
2. Multiple sexual partners
3. Lower socioeconomic status
4. Genetic predisposition
Select the correct answer using the code given below :
