Pattern of pelvic inflammatory disease in women who attended the tertiary care hospital among the rural population of North India

Abstract

Introduction: The term pelvic inflammatory disease refers to any infection in the lower reproductive tract of women. Women living in rural areas are usually not aware of the symptoms. They go to health-care providers only after alarming symptoms develop. Aim: The aim of the present study is to find out frequency of pelvic inflammatory disease (PID), their clinical symptoms, microorganism isolation, and histopathological evaluation of these women who attended the tertiary care hospital. Setting and Design: Tertiary care hospital and retrospective study. Materials and Methods: A total of 247 women with clinical symptoms of PID was included in the study. The performa was filled that included relevant clinical details. Microbe culture and histopathology were the diagnostic tools used. Statistical Analysis: Percentage. Result: The frequency of PID was 15.38%. Maximum number of patients belonged to the age group of 31-40 years (41.29%). Abdominal pain (75.50%) was the chief clinical complaint. Leukocytosis (72.06%) and Gram's stain positivity (51.82%) was also seen. Staphylococcus aureus was most common microbe isolated (8.50%) in culture. Chronic cervicitis (11.33%) was common on histopathology, though endometritis (6.47%) is diagnostic for PID. Conclusion: PID is the most common disease causing morbidity and mortality in infected women. Therefore, measures should be taken regarding early diagnosis so as to provide treatment before the complications develop.