Best Evidence Topics
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Can pregnant patients have pelvic inflammatory disease?

Three Part Question

Can [patients who are pregnant] [develop or have concomitantly] [pelvic inflammatory disease]?

Clinical Scenario

An 18 year old female presents to the emergency department with lower abdominal pain, vaginal discharge. She is currently 8 weeks pregnant by dates and ultrasound confirms a viable intrauterine gestation. You wonder if this patient could have pelvic inflammatory disease even though she is pregnant.

Search Strategy

Medline 1950-06/09 using OVID interface, Cochrane Library (2009), PubMed clinical queries
[("Pelvic Inflammatory Disease"/Diagnosis) AND (exp pregnancy)] Limit to human and English

Search Outcome

125 papers were found of which only one study was relevant to the three part question

Relevant Paper(s)

Author, date and country Patient group Study type (level of evidence) Outcomes Key results Study Weaknesses