Pelvic inflammatory disease (PID) is an infection of the female reproductive organs. It usually occurs when sexually transmitted bacteria spread from your vagina to your uterus, fallopian tubes or ovaries. Many women who develop pelvic inflammatory disease either experience no signs or symptoms or don't seek treatment. Pelvic inflammatory disease may be detected only later when you have trouble getting pregnant or if you develop chronic pelvic pain.
Information about the number of PID cases which doctors in Australia treat each year is limited, but evidence suggests that it is declining. For example, in NSW incidence rates fell from 165 cases per 100,000 women in 1992 to 64 cases per 100,000 women in 2001.
Several types of antibiotics can cure PID. Antibiotic treatment does not, however, reverse any scarring caused by the infection. For this reason, it is critical that a woman receive care immediately if she has pelvic pain or other symptoms of PID. Prompt antibiotic treatment can prevent severe damage to the reproductive organs. The longer a woman delays treatment for PID, the more likely she is to become infertile or to have a future ectopic pregnancy because of damage to the fallopian tubes. PID is usually treated with antibiotics to provide empiric, broad spectrum coverage of likely pathogens.
Develop case definition for use in epidemiological research, Establish social, behavioral, and demographic factors associated with PID, Estimate disease prevalence/incidence Improve surveillance in a range of primary care settings Establish diagnostic and management guidelines for use in patient management systems Implement validated, representative, active sentinel surveillance Estimate the proportion of cases that could be prevented by chlamydial intervention