{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T07:13:02Z","timestamp":1785741182521,"version":"3.56.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>Most adolescent cases of pelvic inflammatory disease (PID) are diagnosed in the emergency department (ED). An important step to prevent PID-related morbidity among this high-risk population is to quantify prevalence and microbial patterns and identify testing and treatment gaps.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We performed a retrospective, cross-sectional study of all visits by adolescents to an urban children's ED with an <jats:italic toggle=\"yes\">International Classification of Diseases, Ninth Revision<\/jats:italic>, diagnosis of PID in 2012. We used standard descriptive statistics to quantify PID diagnoses, sexually transmitted infections (STI) testing, and treatment.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Pelvic inflammatory disease was diagnosed in more than 9% of women with a chief complaint of abdominal\/pelvic pain. Most diagnosed cases underwent some STI testing, and 40% tested positive. Seventy percent of cases received antibiotics recommended by the Centers for Disease Control and Prevention.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>There is a high prevalence of PID among adolescents in the pediatric ED. Rates of STI testing and appropriate treatment reveal gaps in diagnosis and management, representing a lost opportunity for identification and treatment of PID\/STIs among high-risk adolescents.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000001148","type":"journal-article","created":{"date-parts":[[2017,4,25]],"date-time":"2017-04-25T16:23:00Z","timestamp":1493137380000},"page":"389-390","source":"Crossref","is-referenced-by-count":19,"title":["Pelvic Inflammatory Disease in a Pediatric Emergency Department"],"prefix":"10.1097","volume":"35","author":[{"given":"Michelle","family":"Solomon","sequence":"first","affiliation":[{"name":"Children's National Health System; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Tuchman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Hayes","sequence":"additional","affiliation":[{"name":"The Children's Hospital of Philadelphia, Philadelphia, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gia","family":"Badolato","sequence":"additional","affiliation":[{"name":"Children's National Health System; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika K.","family":"Goyal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,4,24]]},"reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1097\/01.olq.0000175375.60973.cb","article-title":"Trends in pelvic inflammatory disease hospital discharges and ambulatory visits, United States, 1985\u20132001","volume":"32","year":"2005","journal-title":"Sex Transm Dis"},{"key":"bib2-20230930","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1097\/OLQ.0b013e3181fc6c65","article-title":"Estimating the direct costs of pelvic inflammatory disease in adolescents: a within-system analysis","volume":"38","year":"2011","journal-title":"Sex Transm Dis"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1097\/PEC.0b013e318294dd7b","article-title":"Pelvic inflammatory disease in the adolescent: understanding diagnosis and treatment as a health care provider","volume":"29","year":"2013","journal-title":"Pediatr Emerg Care"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1097\/OLQ.0b013e31820b8bb4","article-title":"Poor provider adherence to the centers for disease control and prevention treatment guidelines in US emergency department visits with a diagnosis of pelvic inflammatory disease","volume":"38","year":"2011","journal-title":"Sex Transm Dis"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.jadohealth.2005.08.008","article-title":"Use of an institutional intervention to improve quality of care for adolescents treated in pediatric ambulatory settings for pelvic inflammatory disease","volume":"39","year":"2006","journal-title":"J Adolesc Health"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/QCO.0b013e3282f3d9ac","article-title":"Evidence for a role of Mycoplasma genitalium in pelvic inflammatory disease","volume":"21","year":"2008","journal-title":"Curr Opin Infect Dis"},{"key":"bib7-20230930","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1097\/OLQ.0b013e3181ffa7c7","article-title":"Microbial correlates of delayed care for pelvic inflammatory disease","volume":"38","year":"2011","journal-title":"Sex Transm Dis"},{"key":"bib8-20230930","first-page":"49","article-title":"Adverse adolescent reproductive health outcomes after pelvic inflammatory disease","volume":"165","year":"2011","journal-title":"Arch Pediatr Adolesc Med"},{"key":"bib9-20230930","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.annemergmed.2003.10.034","article-title":"Emergency department management of sexually transmitted infections in US adolescents: results from the national hospital ambulatory medical care survey","volume":"43","year":"2004","journal-title":"Ann Emerg Med"},{"key":"bib10-20230930","first-page":"249","article-title":"National trends in pelvic inflammatory disease among adolescents in the emergency department","volume":"52","year":"2013","journal-title":"J Adolesc Health"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201906000-00001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:18:44Z","timestamp":1696061924000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201906000-00001"}},"subtitle":["Epidemiology and Treatment"],"short-title":[],"issued":{"date-parts":[[2017,4,24]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001148","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2017,4,24]]}}}