PID and Hospitalization

Regarding pelvic inflammatory disease (PID), which of the following is NOT a criteria for which hospitalization should be considered?

A. Pregnancy
B. Tuboovarian abscess
C. Vaginal bleeding
D. A surgical emergency can not be excluded (e.g., appendicitis).
E. The patient is unable to tolerate an outpatient oral regimen.

…an excerpt from The Kaji Review

Answer

Answer: C
Criteria for which hospitalization includes:

  1. Pregnancy
  2. Failure of oral antimicrobial therapy
  3. Unable to follow or tolerate an outpatient regimen
  4. Severe illness, nausea and vomiting, or high fever
  5. Tuboovarian abscess

Reference:
CDC – Pelvic Inflammatory Disease http://www.cdc.gov/std/treatment/2010/pid.htm

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