Page 30 - Demo

Cervicitis vs. Pelvic Inflammatory Disease (PID)Feature Cervicitis Pelvic Inflammatory Disease (PID)Definition Inflammation of the cervix Infection of the upper female genital tractAnatomical location Limited to the cervix Affects uterus, fallopian tubes, and ovariesCommon symptoms - Vaginal discharge - Lower abdominal pain- Usually no pelvic pain - Dyspareunia (painful intercourse)- Abnormal vaginal bleeding- Purulent vaginal or cervical discharge- Fever- Cervical motion tendernessCausative organisms - Neisseria gonorrhoeae - Chlamydia trachomatis- Chlamydia trachomatis - Neisseria gonorrhoeae- Often polymicrobialAscension Does not ascend upwards to pelvis Ascends to upper genital tractComplications Generally less severe Can lead to serious complications if untreatedTreatment for N. gonorrhoeae - IM ceftriaxone 1g single dose OR - IM ceftriaxone 1g single dose- Oral ciprofloxacin 500mg single doseTreatment for C. trachomatis- Oral doxycycline 100 mg BD for 7 days OR - Oral doxycycline 100 mg BD for 14 days- Azithromycin regimenAdditional treatment - Oral metronidazole 400 mg BD for 14 daysInpatient treatment Not typically required IV ceftriaxone + IV doxycycline + IV metronidazole