Peptic Inflammatory Disease (PID)

Question 1

Definition of PID

Answer 1

An infection of the upper female genital tract including the uterus, fallopian tubes, ovaries and adjacent pelvic structures.

Question 2

Risk factors of PID

Answer 2

1. sexually active women and younger than 25 years old
2. history of sexually transmitted infection (STI), PID, bacterial vaginosis
3. Multiple sexual partners
4. Sex without a condom
5. Sexual partners with STDs

Question 3

Clinical manifestations of PID

Answer 3

1. Fever
2. lower abd/ back pain
3. Vomiting (peritonitis)
4. Diarrhoea (pelvic abscess)
5. Foul smelling vaginal dischage
6. DIstended and tender at the lower abdomen
7. Dysuria (burning, tingling, or stinging of the urethra and meatus associated with voiding. )
8. Dyspareunia (genital pain associated with sexual intercourse)
9. Metrorrhagia or menorrhagia (endometritis)

Question 4

Diagnostic evalutions of PID

Answer 4

• fbc, esr
• blood and urine c/s
• c-reactive protien
• vaginal swab c/s
• ultrasounds (U/S) and Ct scan of pelvis

Question 5

Complications of PID

Answer 5

• pelvic abscess
• pelvic adhesions (scar tissues formation)
• chronic pelvic pain
• peritonitis
• infertility
• bacteremia
• strictures of the fallopian tubes
• infertility
• ectopic pregnancy

Question 6

Medical management of PID

Answer 6

• antibiotic therapy
• at leats two broad spectrum antibiotics combination
• intravenous fluids
• analgesics

Question 7

examples of antibiotic therapy for PID

Answer 7

• clindamycin for 10 days

- gentamicin for 7 days

Question 8

Surgical management of PID

Answer 8

• surgical drainage of pelvic abscess

Question 9

Nursing interventions of PID

Answer 9

• bed rest
• vital sings
• analgesics for pain
• intravenous infusion
• monitoring intake output
• administration of antibiotics (broad spectrum) as ordered

Question 10

PATIENT EDUCATION OFPID

Answer 10

• causes and how infection can be transmitted
• the signs of recurrent PID
• importance of completing the whole course of antibiotic and the side effects
• safde sexual practice to prevent recurrence : refrain from sexual activities till infection is totally resolved , use of barrier contraceptive device eg condom, avoid using of IUDS and tampons
• importance of compliance to follow up