[Assessing of practices for management of pelvic inflammatory disease complicated by tubo-ovarian abscess]

Abstract

Objectives: Assessing management practices for pelvic inflammatory disease (PID) complicated by tubo-ovarian abscesses (TOA) at Besançon University Hospital since the 2018 French guidelines.

Methods: A single-center, retrospective, observational and analytical study was undertaken from 1^st January 2018 to 31^st December 2023 to evaluate the rate of compliance with current PID management guidelines. We did groups comparisons, according to management accurate to the guidelines or not, to evaluate the differences between treatment groups and the probability of complications.

Results: Compliance to the 2018 French guidelines was 50% for surgical treatment and 90% for antibiotic therapy. Patients treated accordingly to guidelines had a non-significant decreased probability of PID recurrence OR 0.62 CI 95% [0.10-4.02] P=0.6, a non-significant decreased probability of remote surgery OR 0.20 CI 95% [0.01-4.35] P=0.3, a non-significant increased probability of persistent ultrasound image at follow-up OR 2.67 CI 95% [0.24-29.6] P=0.4 and a non-significant increased probability of persistent pelvic pain OR 1.62 [0.25-10.5] P=0.6.

Conclusions: Compliance to the guidelines for surgical treatment was 50% in our center.

Keywords: Abcès tubo ovarien; IGH; PID; Practice assessment; Revue des pratiques; Tubo-ovarian abscess.