Endometrial Cultures in Acute Pelvic Inflammatory Disease
Author Information
Author(s): Soheil Amin-Hanjani, Ashwin Chatwani
Primary Institution: Temple University Hospital
Hypothesis
The study investigates the correlation of endometrial culture results with the clinical diagnosis of acute pelvic inflammatory disease (PID).
Conclusion
Endometrial cultures may serve as a useful adjunct in the evaluation of patients with a clinical diagnosis of acute PID due to the high correlation with clinical diagnosis.
Supporting Evidence
- 98.2% correlation between endometrial culture results and clinical diagnosis of acute PID.
- 112 out of 114 patients with PID had positive endometrial cultures.
- Excluding mycoplasmas, the correlation was 93.8%.
Takeaway
Doctors can use endometrial cultures to help diagnose pelvic infections because they often match the clinical diagnosis.
Methodology
130 patients with clinical PID were enrolled, and endometrial cultures were obtained using transcervical aspirate curette.
Potential Biases
Contamination during transcervical instrumentation could not be totally excluded.
Limitations
No control group was available for direct comparison.
Participant Demographics
Patients aged 17 to 38 years, mean age 23.6 years; 79% black, 11% white, 10% Hispanic.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
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