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Titolo:
TEST-PERFORMANCE OF ERYTHROCYTE SEDIMENTATION-RATE AND C-REACTIVE PROTEIN IN ASSESSING THE SEVERITY OF ACUTE PELVIC INFLAMMATORY DISEASE
Autore:
MIETTINEN AK; HEINONEN PK; LAIPPALA P; PAAVONEN J;
Indirizzi:
UNIV TAMPERE,DEPT BIOMED SCI,POB 607 SF-33101 TAMPERE FINLAND UNIV HOSP HELSINKI,DEPT OBSTET & GYNECOL HELSINKI FINLAND UNIV TAMPERE,DEPT PUBL HLTH SCI SF-33101 TAMPERE FINLAND UNIV TAMPERE,DEPT CLIN SCI SF-33101 TAMPERE FINLAND TAMPERE UNIV HOSP,DEPT OBSTET & GYNECOL TAMPERE FINLAND TAMPERE UNIV HOSP,DEPT CLIN MICROBIOL TAMPERE FINLAND
Titolo Testata:
American journal of obstetrics and gynecology
fascicolo: 5, volume: 169, anno: 1993,
pagine: 1143 - 1149
SICI:
0002-9378(1993)169:5<1143:TOESAC>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
SALPINGITIS; LAPAROSCOPY; INFECTION; WOMEN;
Keywords:
PELVIC INFLAMMATORY DISEASE; ERYTHROCYTE SEDIMENTATION RATE; C-REACTIVE PROTEIN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
15
Recensione:
Indirizzi per estratti:
Citazione:
A.K. Miettinen et al., "TEST-PERFORMANCE OF ERYTHROCYTE SEDIMENTATION-RATE AND C-REACTIVE PROTEIN IN ASSESSING THE SEVERITY OF ACUTE PELVIC INFLAMMATORY DISEASE", American journal of obstetrics and gynecology, 169(5), 1993, pp. 1143-1149

Abstract

OBJECTIVE: The objective of the study was to evaluate the test performance of erythrocyte sedimentation rate and serum C-reactive protein in assessing the severity of acute pelvic inflammatory disease and to determine clinically useful cutoff levels to discriminate mild from severe pelvic inflammatory disease. STUDY DESIGN: The study population consisted of 72 women with acute pelvic inflammatory disease verified bylaparoscopy and endometrial histopathologic studies; 37 patients had mild and 35 had severe pelvic inflammatory disease. Cutoff levels for erythrocyte sedimentation rate and C-reactive protein were determined to reach best sensitivity and specificity to discriminate between severe and mild disease. Clinical and microbiologic data were analyzed by chi2, or t test. Logistic regression analysis was used to analyze riskfactors for severe pelvic inflammatory disease. RESULTS: Patients with severe pelvic inflammatory disease had higher erythrocyte sedimentation rates and C-reactive protein levels than did those with mild disease. In detecting severe disease an erythrocyte sedimentation rate greater-than-or-equal-to 40 mm/hr and C-reactive protein levels greater-than-or-equal-to 60 mg/L had a sensitivity of 97%, a specificity of 61%,a negative predictive value of 96%, and a positive predictive value of 70%. All patients with tuboovarian abscess or perihepatitis and six of seven patients who had anaerobic bacteria isolated from the fallopian tubes tested positive with these cutoff levels. CONCLUSION: Combined use of erythrocyte sedimentation rate and C-reactive protein levels is useful in assessing the severity of acute pelvic inflammatory disease and augments the clinical decision making regarding treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/09/20 alle ore 23:53:59