New Directions In STD Treatment - University of Hawaii

Pelvic Inflammatory Disease Issues
� Newest etiologic agent: Mycoplasma genitalium
� Pathogenesis unclear
� No recommendation for Mg testing
� If no evidence of cervicitis and no WBCs on wet
mount the diagnosis of PID is unlikely
� Modify minimal criteria for presumptive treatment:
� CMT OR uterine tenderness OR adnexal tenderness
� Clarify use of metronidazole*:
� Treatment to cover anarobes should be considered
� If BV is present or cannot be ruled out, add
metronidazole*
� Azithromycin treatment mentioned “outside the box”
* Discussed at the
2006 Guidelines Meeting