Background
Methods
Participants
Results
PID with chlamydia (N = 175) | PID without chlamydia (N = 322) |
P
| |
---|---|---|---|
Mean age (years) | 27.9 ± 8.2 | 32.4 ± 8.3 | <0.0001 |
Married (%) | 71 (40.6) | 223 (69.3) | <0.0001 |
Parity | 0.7 ± 0.9 | 1.2 ± 1.0 | <0.0001 |
Abortion | 1.0 ± 1.2 | 1.2 ± 1.5 | 0.36 |
Cesarean sections (%) | 19 (10.9) | 89 (27.6) | <0.0001 |
Previous pelvic surgery (%) | 35 (20.0) | 65 (20.2) | 0.530 |
History of PID | 26 (14.9) | 61 (18.9) | 0.269 |
Use of IUD (%) | 18 (10.3) | 38 (11.8) | 0.658 |
Barrier contraceptive use (%) | 22 (12.6) | 46 (14.3) | 0.682 |
Main symptoms (%) | |||
Low abdominal pain | 110 (62.9) | 276 (85.7) | 0.001 |
Acute abdomen | 19 (10.9) | 19 (5.9) | 0.321 |
Vaginal discharge | 5 (2.9) | 6 (1.9) | 0.320 |
Right upper quadrant pain | 34 (19.4) | 5 (1.6) | <0.0001 |
Febril sensation | 7 (4.0) | 16 (5.0) | 0.628 |
Menstrual problem | |||
Menorrhagia (%) | 20 (14.0) | 15 (9.2) | 0.215 |
Dysmenorrhea (%) | 20 (14.0) | 15 (9.2) | 0.215 |
Alcohol (%) | 72 (41.1) | 107 (33.2) | 0.096 |
Smoking (%) | 45 (25.7) | 74 (22.3) | 0.510 |
PID with chlamydia (N = 175) | PID without chlamydia (N = 322) |
P
| |
---|---|---|---|
Mean temperature (°C) | 37.2 ± 0.8 | 37.2 ± 0.9 | 0.893 |
Fever (%) | 36 (20.6) | 73 (22.7) | 0.650 |
Mean WBC count x103/μl | 10.3 ± 4.0 | 10.2 ± 4.5 | 0.948 |
Leuocytosis (%) | 63 (36.0) | 102 (31.7) | 0.836 |
ESR (mm/h) | 45.0 ± 26.6 | 23.5 ± 24.5 | <0.0001 |
CRP (mg/dl) | 7.6 ± 7.0 | 4.8 ± 6.5 | <0.0001 |
CA 125 (U/mL) | 130.7 ± 174.6 | 23.8 ± 40.0 | <0.0001 |
Abnormal CA 125 (%, > 35 U/mL) | 115 (65.7) | 42 (13.0) | <0.0001 |
Other sexually transmitted infection (%) | |||
Neisseria gonorrhoeae | 11(6.3) | 1(0.3) | <0.0001 |
Mycoplasma genitalium | 13(7.4) | 4(1.2) | 0.001 |
Mycoplasma hominis | 9 (5.1) | 11(3.4) | 0.349 |
Ureaplasma urealyticum | 19(10.9) | 17(5.3) | 0.029 |
Trichomonas vaginalis | 14(8.0) | 16(5.0) | 0.236 |
Hospital day (days) | 8.2 ± 2.7 | 7.2 ± 2.4 | 0.016 |
Recurrent PID (%) | 9 (5.1) | 5 (1.6) | 0.051 |
TOA (%) | 45 (25.7) | 24 (7.4) | <0.0001 |
FHC syndrome (%) | 69 (39.4) | 2 (0.6) | <0.0001 |
Operation (%) | 39 (22.2) | 32 (9.9) | <0.0001 |
Variable | Odds ratio (95% confidence interval) |
P
|
---|---|---|
Age | -3.00 (-4.073 ~ -0.852) | 0.003 |
Smoking | 2.53 (4.032 ~ 20.174) | 0.013 |
TOA | 10.84 (129.819 ~ 187.289) | <0.0001 |
Cut-off value | Sensitivity | Specificity | Area under the curve |
P
| |
---|---|---|---|---|---|
ESR (mm/h) | 19.5 | 84% | 60% | 0.755 | <0.001 |
CRP (mg/dl) | 3.6 | 60% | 60% | 0.663 | <0.001 |
CA 125 (U/mL) | 34.5 | 66% | 87% | 0.804 | <0.001 |