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Clinical and microbiological investigation of women with acute salpingitis and their consorts.

Authors
  • Kinghorn, G R
  • Duerden, B I
  • Hafiz, S
Type
Published Article
Journal
British journal of obstetrics and gynaecology
Publication Date
Aug 01, 1986
Volume
93
Issue
8
Pages
869–880
Identifiers
PMID: 3741814
Source
Medline
License
Unknown

Abstract

To determine the microbiological causes of pelvic inflammatory disease, 43 women with acute salpingitis (AS) and 160 controls were studied. Amongst AS women there were significantly higher endocervical isolation rates of Neisseria gonorrhoeae (54% vs 6%), Chlamydia trachomatis (40% vs 13%), Mycoplasma hominis (60% vs 19%), enterobacteria (26% vs 11%) and anaerobic bacteria (58% vs 29%). A polymicrobial pathogenic endocervical flora was present in both gonococcal and non-gonococcal AS. Laparoscopic sampling of the fallopian tubes rarely provided useful microbiological data but did reveal the inaccuracy of clinical diagnosis of AS. Thirty-four male consorts of AS women were investigated; 20 had gonorrhoea and 27 had non-gonococcal urethritis (NGU). A high proportion of infected men had asymptomatic gonorrhoea (35%) and/or asymptomatic NGU (56%). These findings had implications for the management of AS.

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