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Nucleic acid amplification tests are the most sensitive and specific for the detection of chlamydia, gonorrhea, and trichomoniasis, and they can be performed on provider- or patient-collected swabs. Providers should have a low threshold for diagnosing and treating PID because untreated PID can have serious long-term complications for young women. Indications for hospitalization for PID include the presence of a tubo-ovarian abscess, severe illness with systemic symptoms, pregnancy, human immunodeficiency virus infection, and failure to respond to outpatient oral treatment (within 48\u201372 hours) or inability to tolerate the oral treatment.<\/jats:p>","DOI":"10.1542\/pir.2019-0078","type":"journal-article","created":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T13:27:30Z","timestamp":1601558850000},"page":"522-537","source":"Crossref","is-referenced-by-count":7,"title":["Sexually Transmitted Infections Part 2: Discharge Syndromes and Pelvic Inflammatory Disease"],"prefix":"10.1542","volume":"41","author":[{"given":"Diana","family":"Lemly","sequence":"first","affiliation":[{"name":"Division of Adolescent and Young Adult Medicine and"},{"name":"Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA"},{"name":"Harvard Medical School, Boston, 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