25: Mycoplasma genitalium and acute pelvic inflammatory disease




Objectives


Mycoplasma genitalium is associated with some STD syndromes, but whether it is a PID pathogen is unclear. We evaluated the role of MG in women with acute PID.




Methods


Women with acute PID were enrolled in a randomized controlled trial of two outpatient PID treatment regimens (ceftriaxone and doxycycline +/- metronidazole). Cervical and endometrial samples, obtained at enrollment and at 30 days following treatment, were tested for Neisseria gonorrhoeae (GC), Chlamydia trachomatis (CT), and M. genitalium (MG) by NAAT. Histologic assessment for endometritis was assessed independently by 2 blinded pathologists with quantification of neutrophils and plasma cells to determine acute endometritis (>5 PMNs per 400X surface epithelium and > 1 plasma cell per 100X) and plasma cell endometritis (> 1 plasma cell per 100X).




Methods


Women with acute PID were enrolled in a randomized controlled trial of two outpatient PID treatment regimens (ceftriaxone and doxycycline +/- metronidazole). Cervical and endometrial samples, obtained at enrollment and at 30 days following treatment, were tested for Neisseria gonorrhoeae (GC), Chlamydia trachomatis (CT), and M. genitalium (MG) by NAAT. Histologic assessment for endometritis was assessed independently by 2 blinded pathologists with quantification of neutrophils and plasma cells to determine acute endometritis (>5 PMNs per 400X surface epithelium and > 1 plasma cell per 100X) and plasma cell endometritis (> 1 plasma cell per 100X).

Only gold members can continue reading. Log In or Register to continue

Stay updated, free articles. Join our Telegram channel

May 2, 2017 | Posted by in GYNECOLOGY | Comments Off on 25: Mycoplasma genitalium and acute pelvic inflammatory disease

Full access? Get Clinical Tree

Get Clinical Tree app for offline access