Pelvic Inflammatory Disease: Likelihood Ratios

Introduction: Infection of the internal female genital organs.

50% from Chlamydia trachomatis. Others: Neisseria gonorrheae, mycoplasma, etc.

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The likelihood ratios of findings for Pelvic Inflammatory Disease are listed below. See the left navigation bar to change the display.

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Finding	+LR	-LR	Comments, Study
Abdominal MRI	13.6	0.1	note: small series Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109
Abdominal US	Sensitivity = 78%		Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109
Adnexal Mass	1.7	0.7	palpable Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
Adnexal tenderness	1	1.2	in 61 women with non-specific lower abdominal pain Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310
Cervical motion tenderness	1.1	0.9	in 61 women with non-specific lower abdominal pain Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310
Elevated ESR	1.6	0.4	Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109
Emesis	1.2	1	Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
hearing loss	1.3	0.8	Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
Leukocytosis	0.8	1.3	Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109
Menstrual Irregularity	1	1	Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
Nuclear WBC Scan	6.3	0.1	Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109
Proctitis Symptoms	1.3	1	Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
Purulent endocervical secretion	3.3	0.8	in 61 women with non-specific lower abdominal pain. Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310
Rebound	2.5	0.8	in 61 women with non-specific lower abdominal pain. Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310
Transvaginal US	1.7	0.3	NOTE: very large CI for specificity (5-100%)! Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109
Vaginal Bleeding	1.1	1	Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
Vaginal discharge	1.5	0.8	in 61 women with non-specific lower abdominal pain. Another meta-analysis gave 74%/24%. Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310 Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128