Pelvic Inflammatory Disease: Sensitivity and Specificity

Introduction: Infection of the internal female genital organs.

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

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The sensitivity and specificity of findings for Pelvic Inflammatory Disease are listed below. See the left navigation bar to change the display.

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Finding	Sensitivity	Specificity	Comments, Study
Abdominal MRI	95%	93%	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	52%	70%	palpable Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
Adnexal tenderness	93%	6%	in 61 women with non-specific lower abdominal pain Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310
Cervical motion tenderness	63%	40%	in 61 women with non-specific lower abdominal pain Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310
Elevated ESR	80%	50%	Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109
Emesis	14%	88%	Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
hearing loss	47%	64%	Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
Leukocytosis	50%	40%	Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109
Menstrual Irregularity	45%	57%	Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
Nuclear WBC Scan	95%	85%	Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109
Proctitis Symptoms	10%	92%	Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
Purulent endocervical secretion	23%	93%	in 61 women with non-specific lower abdominal pain. Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310
Rebound	25%	90%	in 61 women with non-specific lower abdominal pain. Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310
Transvaginal US	87%	50%	NOTE: very large CI for specificity (5-100%)! Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109
Vaginal Bleeding	25%	77%	Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128
Vaginal discharge	40%	73%	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