Pelvic Inflammatory Disease (Pid) : Presenters:Agaba Agans Nakibirigye Cynthia Nakalima Kasifah Kansiime Miria
Pelvic Inflammatory Disease (Pid) : Presenters:Agaba Agans Nakibirigye Cynthia Nakalima Kasifah Kansiime Miria
Pelvic Inflammatory Disease (Pid) : Presenters:Agaba Agans Nakibirigye Cynthia Nakalima Kasifah Kansiime Miria
PRESENTERS:AGABA AGANS
NAKIBIRIGYE CYNTHIA
NAKALIMA KASIFAH
KANSIIME MIRIA
DEFINITION
Pelvic Inflammatory Disease (PID): An
infection of the female reproductive organs,
including the uterus, fallopian tubes, and
ovaries. It typically results from sexually
transmitted infections (STIs) but can also arise
from other bacterial infections
PID overview diagram
PREVALENCE IN UGANDA/AFRICA
General Prevalence:PID is a major health issue in
Uganda and Africa, influenced by high rates of STIs
and limited healthcare access.
Statistics: Uganda:Approximately 10-15% of women
may experience PID at some point. High rates of
chlamydia and gonorrhea contribute significantly.
Sub-Saharan Africa:Estimates suggest that PID affects
10-20% of women of reproductive age, with varying
prevalence based on regional STI rates.
PID prevalence graph in uganda
PID prevalence graph in Africa
Causes
Primary causes Secon dary causes
• Sexually Transmitted • Post-Surgical
Infections (STIs):Chlamydia Infections:Infections
and gonorrhea are the most following childbirth,
common pathogens abortion, or gynecological
• Other Bacterial procedures.
Infections:Mycoplasma and • Pelvic Surgery
Ureaplasma. Complications:risk of
introducing bacteria during
procedures.
Chlamydia and gonorrhea bacteria
SIGNS AND SYMPTOMS
Common Symptoms Severe Symptoms
• Lower abdominal pain • Nausea and vomiting
• Abnormal vaginal • Severe abdominal pain
discharge(often with foul
smell)
• Painful intercourse
• Irregular menstrual
bleeding
• Fever and chills
Pelvic pain signs
INVESTIGATIONS
Physical Examination:
• Assessing tenderness, discharge, and signs of infection.
Laboratory Tests
• Cervical Culture: Identifies the presence of STIs.
• Blood Tests:Elevated white blood cells and inflammatory
markers.
Imaging Studies:
• Ultrasound:Visualizes reproductive organs, detects fluid in
the pelvis.
• CT Scan:Provides detailed imaging, especially in severe cases.
investigations
MANAGEMENT
Medical Treatment Surgical treatment
• Antibiotics:broad-spectrum Laparoscopy:For diagnostic
antibiotics based on purposes and to manage
cultural results abscesses or damaged
• Pain relief: Analgesics to tissue.
manage pain and comfort Surgery:Required in severe
cases for tubo-ovarian
abscesses or extensive
damage.
Under management
COMPLICATIONS
• Chronic Pelvic Pain: Persistent and recurrent
pain in the pelvic region.
• Infertility:Scarring and blockages in the
fallopian tubes can lead to infertility.
• Ectopic Pregnancy: Increased risk due to
damage to the fallopian tubes.
• Abscess Formation:Severe cases may result in
abscesses requiring surgical drainage.
REFERENCES
1. Williams Gynecology"by Barbara L. Hoffman,
MD, et al.Detailed and comprehensive
coverage of gynecological conditions,
including PID.
2. "Clinical Gynecology: A Textbook"by Richard
M. G. S. M. Harding.
3. "Danforth's Obstetrics and Gynecology"by
Ronald S. Gibbs, MD, et al.