Women presenting with lower abdominal pain: A missed opportunity for chlamydia screening?
Introduction: Many young women presenting with lower abdominal pain are referred to general surgeons with possible appendicitis. For some of these patients there will be a gynaecological cause for their pain. There has been a steady increase in the incidence of Chlamydia infections and pelvic inflam...
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description | Introduction: Many young women presenting with lower abdominal pain are referred to general surgeons with possible appendicitis. For some of these patients there will be a gynaecological cause for their pain. There has been a steady increase in the incidence of
Chlamydia infections and pelvic inflammatory disease (PID) among the general population. Therefore, are general surgeons considering this as a diagnosis for lower abdominal pain in women? Methods: One hundred and ninety three women who had been admitted with lower abdominal pain to a single hospital between 1999 and 2001 were identified using computerised records and the notes were examined. One hundred and eighty six women were included in the audit. Investigations and treatments instigated for these patients were then carefully recorded. Results: Seventy-four patients underwent appendicectomy, of which 59 were histologically confirmed. Eighty-nine patients (47.8%) of admissions had no final diagnosis and were not screened for
Chlamydia trachomatis. Sexual history was recorded in only 51% of admissions. Vaginal swabs were sent in only 7.3% of admissions. Conclusion: Current guidelines for
Chlamydia trachomatis screening produced by the Chief Medical Off cer (CMO) include screening in women presenting with lower abdominal pain as well as those with post-coital or intermenstrual bleeding. Most women who present with classical symptoms of PID will present to gynaecological specialities for further management. However, a signif cant number of women presenting atypically will be referred to surgeons to exclude gastrointestinal causes for their lower abdominal pain. These women could and probably should be screened for
Chlamydia trachomatis |
doi_str_mv | 10.1016/S1479-666X(06)80016-8 |
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Chlamydia infections and pelvic inflammatory disease (PID) among the general population. Therefore, are general surgeons considering this as a diagnosis for lower abdominal pain in women? Methods: One hundred and ninety three women who had been admitted with lower abdominal pain to a single hospital between 1999 and 2001 were identified using computerised records and the notes were examined. One hundred and eighty six women were included in the audit. Investigations and treatments instigated for these patients were then carefully recorded. Results: Seventy-four patients underwent appendicectomy, of which 59 were histologically confirmed. Eighty-nine patients (47.8%) of admissions had no final diagnosis and were not screened for
Chlamydia trachomatis. Sexual history was recorded in only 51% of admissions. Vaginal swabs were sent in only 7.3% of admissions. Conclusion: Current guidelines for
Chlamydia trachomatis screening produced by the Chief Medical Off cer (CMO) include screening in women presenting with lower abdominal pain as well as those with post-coital or intermenstrual bleeding. Most women who present with classical symptoms of PID will present to gynaecological specialities for further management. However, a signif cant number of women presenting atypically will be referred to surgeons to exclude gastrointestinal causes for their lower abdominal pain. These women could and probably should be screened for
Chlamydia trachomatis</description><identifier>ISSN: 1479-666X</identifier><identifier>EISSN: 2405-5840</identifier><identifier>DOI: 10.1016/S1479-666X(06)80016-8</identifier><identifier>PMID: 16459495</identifier><language>eng</language><publisher>Edinburgh: Elsevier Ltd</publisher><subject>Abdominal Pain - diagnosis ; Abdominal Pain - epidemiology ; Abdominal Pain - surgery ; acute admissions ; Adolescent ; Adult ; Appendicitis - diagnosis ; Appendicitis - epidemiology ; Appendicitis - surgery ; Bacterial diseases ; Bacterial diseases of the genital system ; Biological and medical sciences ; Chlamydia ; Chlamydia Infections - diagnosis ; Chlamydia Infections - epidemiology ; Diagnosis, Differential ; Female ; Follow-Up Studies ; General aspects ; Human bacterial diseases ; Humans ; Incidence ; Infectious diseases ; Mass Screening - standards ; Medical sciences ; Middle Aged ; pelvic inflammatory disease ; Pelvic Inflammatory Disease - diagnosis ; Pelvic Inflammatory Disease - epidemiology ; Pelvic Inflammatory Disease - surgery ; Preoperative Care - methods ; Registries ; Retrospective Studies ; right iliac fossa pain ; Risk Assessment ; Severity of Illness Index ; surgery ; Treatment Outcome ; United Kingdom - epidemiology</subject><ispartof>The surgeon (Edinburgh), 2006-02, Vol.4 (1), p.15-19</ispartof><rights>2006 Royal College of Surgeons of Edinburgh and Royal College of Surgeons in Ireland</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c308t-8a02954aef7409c7c591ed337858ca48e03f2193057a2664a6ac91eaf5fb46c23</citedby><cites>FETCH-LOGICAL-c308t-8a02954aef7409c7c591ed337858ca48e03f2193057a2664a6ac91eaf5fb46c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S1479-666X(06)80016-8$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17693641$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16459495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lloyd, T.D.R.</creatorcontrib><creatorcontrib>Malin, G.</creatorcontrib><creatorcontrib>Pugsley, H.</creatorcontrib><creatorcontrib>Garcea, A.</creatorcontrib><creatorcontrib>Garcea, G.</creatorcontrib><creatorcontrib>Dennison, A.</creatorcontrib><creatorcontrib>Berry, D.P.</creatorcontrib><creatorcontrib>Kelly, M.J.</creatorcontrib><title>Women presenting with lower abdominal pain: A missed opportunity for chlamydia screening?</title><title>The surgeon (Edinburgh)</title><addtitle>Surgeon</addtitle><description>Introduction: Many young women presenting with lower abdominal pain are referred to general surgeons with possible appendicitis. For some of these patients there will be a gynaecological cause for their pain. There has been a steady increase in the incidence of
Chlamydia infections and pelvic inflammatory disease (PID) among the general population. Therefore, are general surgeons considering this as a diagnosis for lower abdominal pain in women? Methods: One hundred and ninety three women who had been admitted with lower abdominal pain to a single hospital between 1999 and 2001 were identified using computerised records and the notes were examined. One hundred and eighty six women were included in the audit. Investigations and treatments instigated for these patients were then carefully recorded. Results: Seventy-four patients underwent appendicectomy, of which 59 were histologically confirmed. Eighty-nine patients (47.8%) of admissions had no final diagnosis and were not screened for
Chlamydia trachomatis. Sexual history was recorded in only 51% of admissions. Vaginal swabs were sent in only 7.3% of admissions. Conclusion: Current guidelines for
Chlamydia trachomatis screening produced by the Chief Medical Off cer (CMO) include screening in women presenting with lower abdominal pain as well as those with post-coital or intermenstrual bleeding. Most women who present with classical symptoms of PID will present to gynaecological specialities for further management. However, a signif cant number of women presenting atypically will be referred to surgeons to exclude gastrointestinal causes for their lower abdominal pain. These women could and probably should be screened for
Chlamydia trachomatis</description><subject>Abdominal Pain - diagnosis</subject><subject>Abdominal Pain - epidemiology</subject><subject>Abdominal Pain - surgery</subject><subject>acute admissions</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Appendicitis - diagnosis</subject><subject>Appendicitis - epidemiology</subject><subject>Appendicitis - surgery</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the genital system</subject><subject>Biological and medical sciences</subject><subject>Chlamydia</subject><subject>Chlamydia Infections - diagnosis</subject><subject>Chlamydia Infections - epidemiology</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infectious diseases</subject><subject>Mass Screening - standards</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>pelvic inflammatory disease</subject><subject>Pelvic Inflammatory Disease - diagnosis</subject><subject>Pelvic Inflammatory Disease - epidemiology</subject><subject>Pelvic Inflammatory Disease - surgery</subject><subject>Preoperative Care - methods</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>right iliac fossa pain</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>surgery</subject><subject>Treatment Outcome</subject><subject>United Kingdom - epidemiology</subject><issn>1479-666X</issn><issn>2405-5840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFO3DAQhi3UCraUR6DypVV7CLUT27F7QQi1FAmJA60KJ2vWmRRXiR3sbNG-fb3sCo49jTT6_plfHyHHnJ1wxtXnGy5aUymlbj8y9Umzsqv0HlnUgslKasFekcUzckDe5PyHsVo2TO6TA66ENMLIBbn7FUcMdEqYMcw-_KaPfr6nQ3zERGHZxdEHGOgEPnyhZ3T0OWNH4zTFNK-Cn9e0j4m6-wHGdeeBZpcQQ7lz-pa87mHIeLSbh-Tnt68_zr9XV9cXl-dnV5VrmJ4rDaw2UgD2rWDGtU4ajl3TtFpqB0Ija_qam9K7hVopAQpcIaCX_VIoVzeH5MP27pTiwwrzbEtJh8MAAeMqW9WqhhvOCyi3oEsx54S9nZIfIa0tZ3bj1D45tRthlin75NTqknu3e7Bajti9pHYSC_B-B0B2MPQJgvP5hWuVaZTYFDjdclh0_PWYbHYeg8POJ3Sz7aL_T5V_UhCURw</recordid><startdate>200602</startdate><enddate>200602</enddate><creator>Lloyd, T.D.R.</creator><creator>Malin, G.</creator><creator>Pugsley, H.</creator><creator>Garcea, A.</creator><creator>Garcea, G.</creator><creator>Dennison, A.</creator><creator>Berry, D.P.</creator><creator>Kelly, M.J.</creator><general>Elsevier Ltd</general><general>Royal College of Surgeons of Edinburgh</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200602</creationdate><title>Women presenting with lower abdominal pain: A missed opportunity for chlamydia screening?</title><author>Lloyd, T.D.R. ; Malin, G. ; Pugsley, H. ; Garcea, A. ; Garcea, G. ; Dennison, A. ; Berry, D.P. ; Kelly, M.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c308t-8a02954aef7409c7c591ed337858ca48e03f2193057a2664a6ac91eaf5fb46c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Abdominal Pain - diagnosis</topic><topic>Abdominal Pain - epidemiology</topic><topic>Abdominal Pain - surgery</topic><topic>acute admissions</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Appendicitis - diagnosis</topic><topic>Appendicitis - epidemiology</topic><topic>Appendicitis - surgery</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the genital system</topic><topic>Biological and medical sciences</topic><topic>Chlamydia</topic><topic>Chlamydia Infections - diagnosis</topic><topic>Chlamydia Infections - epidemiology</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infectious diseases</topic><topic>Mass Screening - standards</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>pelvic inflammatory disease</topic><topic>Pelvic Inflammatory Disease - diagnosis</topic><topic>Pelvic Inflammatory Disease - epidemiology</topic><topic>Pelvic Inflammatory Disease - surgery</topic><topic>Preoperative Care - methods</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>right iliac fossa pain</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>surgery</topic><topic>Treatment Outcome</topic><topic>United Kingdom - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lloyd, T.D.R.</creatorcontrib><creatorcontrib>Malin, G.</creatorcontrib><creatorcontrib>Pugsley, H.</creatorcontrib><creatorcontrib>Garcea, A.</creatorcontrib><creatorcontrib>Garcea, G.</creatorcontrib><creatorcontrib>Dennison, A.</creatorcontrib><creatorcontrib>Berry, D.P.</creatorcontrib><creatorcontrib>Kelly, M.J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The surgeon (Edinburgh)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lloyd, T.D.R.</au><au>Malin, G.</au><au>Pugsley, H.</au><au>Garcea, A.</au><au>Garcea, G.</au><au>Dennison, A.</au><au>Berry, D.P.</au><au>Kelly, M.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Women presenting with lower abdominal pain: A missed opportunity for chlamydia screening?</atitle><jtitle>The surgeon (Edinburgh)</jtitle><addtitle>Surgeon</addtitle><date>2006-02</date><risdate>2006</risdate><volume>4</volume><issue>1</issue><spage>15</spage><epage>19</epage><pages>15-19</pages><issn>1479-666X</issn><eissn>2405-5840</eissn><abstract>Introduction: Many young women presenting with lower abdominal pain are referred to general surgeons with possible appendicitis. For some of these patients there will be a gynaecological cause for their pain. There has been a steady increase in the incidence of
Chlamydia infections and pelvic inflammatory disease (PID) among the general population. Therefore, are general surgeons considering this as a diagnosis for lower abdominal pain in women? Methods: One hundred and ninety three women who had been admitted with lower abdominal pain to a single hospital between 1999 and 2001 were identified using computerised records and the notes were examined. One hundred and eighty six women were included in the audit. Investigations and treatments instigated for these patients were then carefully recorded. Results: Seventy-four patients underwent appendicectomy, of which 59 were histologically confirmed. Eighty-nine patients (47.8%) of admissions had no final diagnosis and were not screened for
Chlamydia trachomatis. Sexual history was recorded in only 51% of admissions. Vaginal swabs were sent in only 7.3% of admissions. Conclusion: Current guidelines for
Chlamydia trachomatis screening produced by the Chief Medical Off cer (CMO) include screening in women presenting with lower abdominal pain as well as those with post-coital or intermenstrual bleeding. Most women who present with classical symptoms of PID will present to gynaecological specialities for further management. However, a signif cant number of women presenting atypically will be referred to surgeons to exclude gastrointestinal causes for their lower abdominal pain. These women could and probably should be screened for
Chlamydia trachomatis</abstract><cop>Edinburgh</cop><pub>Elsevier Ltd</pub><pmid>16459495</pmid><doi>10.1016/S1479-666X(06)80016-8</doi><tpages>5</tpages></addata></record> |
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subjects | Abdominal Pain - diagnosis Abdominal Pain - epidemiology Abdominal Pain - surgery acute admissions Adolescent Adult Appendicitis - diagnosis Appendicitis - epidemiology Appendicitis - surgery Bacterial diseases Bacterial diseases of the genital system Biological and medical sciences Chlamydia Chlamydia Infections - diagnosis Chlamydia Infections - epidemiology Diagnosis, Differential Female Follow-Up Studies General aspects Human bacterial diseases Humans Incidence Infectious diseases Mass Screening - standards Medical sciences Middle Aged pelvic inflammatory disease Pelvic Inflammatory Disease - diagnosis Pelvic Inflammatory Disease - epidemiology Pelvic Inflammatory Disease - surgery Preoperative Care - methods Registries Retrospective Studies right iliac fossa pain Risk Assessment Severity of Illness Index surgery Treatment Outcome United Kingdom - epidemiology |
title | Women presenting with lower abdominal pain: A missed opportunity for chlamydia screening? |
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