PID Diagnosis and Hospitalisation (CDC Criteria)
CDC 2021: presumptive PID treatment when at least one minimum criterion (cervical motion, uterine or adnexal tenderness) is present; hospitalisation criteria include tubo-ovarian abscess and severe illness.
Score interpretation
No cervical motion, uterine or adnexal tenderness: PID is not diagnosed on CDC minimum criteria.
→ Consider other causes of pelvic pain (ectopic pregnancy, appendicitis, ovarian torsion); severe illness needs urgent surgical/gynaecological review.
At least one minimum criterion met: start presumptive PID treatment. Outpatient treatment if no hospitalisation criterion (also exclude pregnancy, surgical emergency, intolerance of oral therapy).
→ Adults: IM ceftriaxone 500mg stat + oral doxycycline + metronidazole for 14 days; partner treatment. Children: use a children's formulary.
Tubo-ovarian abscess or severe illness (CDC 2021 hospitalisation criteria).
→ Admit for parenteral antibiotics; imaging and gynaecology review; drainage if a tubo-ovarian abscess does not respond.
Interpretation bands for the PID Criteria. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Teicoplanin · Glycopeptide Antibiotic — MRSA / Gram-Positive Infections
- Clindamycin (BV / GBS Prophylaxis) · Lincosamide Antibiotic — Obstetric / Gynaecological
- Doxycycline (Systemic — Ocular Rosacea / Blepharitis) · Tetracycline Antibiotic — Anti-inflammatory (Ocular Rosacea / MGD)
- Vancomycin (Orthopaedic Bone and Joint Infections) · Glycopeptide Antibiotic
- Teicoplanin (Orthopaedic Bone and Joint Infections) · Glycopeptide Antibiotic
- Daptomycin (Prosthetic Joint Infections — Gram-positive) · Lipopeptide Antibiotic
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.