Abstract:
Acute pelvic inflammatory disease is defined as an ascending infection of the upper
genital tract leading to infection of the endometrium, fallopian tubes, ovaries and peritoneum.
Acute PID is an ill understood, inaccurately diagnosed inadequately treated condition. This
often leads to potentially serious squeal such as disseminated infection, infertility, ectopic
pregnancy, increased risk of reinfection and chronic pelvic pain. Diagnostic difficulties of acute
PID are compounded by the wide variety of clinical presentation. Early diagnosis and
appropriate therapy of PID is a daily challenge for doctors. Other diagnostic modalities beside
clinical signs and symptoms include: C reactive protein and erythrocyte sedimentation rate, both
these tests have been extensively studied and seem to do equally well in term of sensitivity and
specificity. Among the newest markers for evaluation of severity , procalcitonin has the highest
diagnostic accuracy. Procalcitonin levels rise rapidly after infectious insult with systemic
consequences. Daily changes of plasma PCT levels can give an indication of the course of the
disease and the prognosis of the septics complications. The priorities in combating pelvic
inflammatory disease is to identify the high risk population, educated them find cost effective
diagnostic tests. Research needs to address speedy and early diagnosis on an outpatient basis and
to identify women who are greatest risk of developing the squeal of pelvic inflammatory disease.
Keywords: Procalcitonin (PCT), Pelvic Inflammatory Disease (PID/BIP), PCR
Boala inflamatorie pelvină reprezintă cea mai frecventă cauza de adresare a pacinetelor în
cabinetele ginecologice, la medicii de familie şi în serviciile de ginecologie.Boala Inflamatorie
Pelvină este o infecţie frecventă unde fiziopatologia rămine puţin cunoscută, întâlnită în 44-65%
la femei pâna 25 ani din care 1/3 înainte de 20 ani, la nulipare între 50-75% din cazuri, cu
pariteneri multipli, ce poate aparea în perioada de menstra care se explica prin lipsa glerei
cervicale în prezenţa sângelui - un mediu excelent de cultură pentru bacterii.
