Pelvic inflammatory disorder is an inflammatory or infectious condition of pelvic cavity.

1. PELVIC INFLAMMATORY
DISEASE
• Prepared by Mononita
Bhattacharjee
• MSc. Nursing (Medical
Surgical Nursing)

2. DEFINITION
PELVIC INFLAMMATORY DISEASE or
PELVIC INFLAMMATORY DISORDER
(PID) is an inflammatory or infectious
condition of pelvic cavity .

3. It may begin with…
 Cervix ( cervicitis )

4.  Uterus
( endometritis )

5.  Fallopian tubes
( salpingitis )

6.  Ovaries
(oophoritis)

7. CAUSING ORGANISM
PID is a polymicrobial
(caused by several types
of microorganisms )
infection.
Neisseria gonorrhea
Chlamydia trachomatis
are the most common
causative organism of
PID.

8. RISK FACTORS
• Age < 25 are more likely to develop PID
than those older
• Multiple sex partners
• Douching regularly
• IUD

9. PATHOPHYSIOLOGY

10. CERVICITIS
ENDOMETRITIS
SALPINGITIS
OOPHORITIS

11. SIGNS & SYMPTOMS
PID can be SYMPTOMATIC or
ASYMTOMATIC.
Vaginal discharge.
Dispariunia
Lower abdominal pelvic pain.

12. Cont…
Lower abdominal tenderness.
Irregular menstrual cycle.
Pain may increase with voiding or with
defecation.
Fever

13. Cont…
General malaise
Anorexia
Nausea
Headache
Possibly emesis.

14. DIAGNOSTIC EVALUATION
History collection.
Physical evaluation.

15. INVESTIGATIONS
• Blood tests (ESR), (CRP)
• Urine culture
• Sensitivity tests of vaginal and cervical
secretions

16. Cont…
• Imaging methods:
– Ultrasonography
– Computed tomography (CT)
– Magnetic imaging (MRI)
• Endometrial biopsy.
• Laparoscopy

17. COLLABORATIVE CARE /
MANAGEMENT

18. MEDICAL MANAGEMENT
PID is usually treated on out patient
basis.
Oral antibiotic therapy.
 Combination of antibiotics.
If client does not respond to ORAL
antibiotic therapy she will be advised to
be hospitalized.

19. Cont…
 Start maximum doses of PARENTERAL
ANTIBIOTIC.
Analgesic
IV fluids

20. OTHER MANAGEMENT
Application of heat to lower abdomen.
Sitz bath, improve circulation and
decrease pain.
Bed rest

21. SURGICAL MANAGEMENT
Surgery is indicated
for abscess that fail to
resolve with IV
antibiotics.
 Laparatomy

22. Cont…
In extreme case of
infection and severe
pain
 Hysterectomy

23. NURSING MANAGEMENT

24. COMPLICATIONS
Recurrent PID
Ruptured abscess
Chronic lower abdomen pain.
Ectopic pregnancy
Infertility