Clinical staging of acute bacterial salpingitis and its therapeutic ramifications

American Journal of Obstetrics and Gynecology
G R Monif

Abstract

The use of single-drug therapy results in an overall 13% to 17% failure rate, and even this figure is misleading, because of the high prevalence of patients with uncomplicated disease. In patients with polymicrobial peritonitis, the failure rate varies between 30% and 60%, depending upon whether Neisseria gonorrhoeae can be concomitantly isolated from the cul-de-sac and the criteria used to define therapeutic cure. THe complexity of disease as we now understand it requires a corresponding degree of therapeutic individualization. In the Gainesville staging, acute salpingitis is subdivided into five stages. Stage I is acute endometritis-salpingitis without peritonitis. Stage II is salpingitis with peritonitis. Stage III is acute salpingitis with superimposed tubal occlusion or tuboovarian complex. Stage IV is where a tuboovarian abscess has ruptured. Stage V is a repository category for different etiologic agents which may emulate acute salpingitis, i.e., Mycobacterium tuberculosis. Each stage of disease differs by virtue of its therapeutic goal and the means by which this goal is achieved.

Citations

Dec 19, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·D L HemselJ L Thomason
Jul 29, 2010·Obstetrics and Gynecology·David E Soper
Oct 4, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Luis H Sordia-HernándezGeraldina Guerrero-Gonzalez

Related Concepts

Abscess
Acute Disease
Bacteriocidal Agents
Chlamydia Infections
Chlamydia trachomatis
Polychemotherapy
Endomyometritis
Enterobacteriaceae Infections
Gonorrhea
Ovarian Diseases

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