CDC Diagnostic Criteria for the Diagnosis of Pelvic Inflammatory Disease (PID)

Minimal criteria*

  • Lower abdominal tenderness
  • Uterine/adnexal tenderness
  • Cervical motion tenderness

Additional criteria

  • Oral temperature > 38.3°C (101°F)
  • Abnormal cervical or vaginal mucopurulent discharge
  • Presence of white blood cells (WBCs) on saline microscopy of vaginal secretions
  • Elevated erythrocyte sedimentation rate
  • Elevated C-reactive protein level
  • Laboratory documentation of cervical infection with Neisseria gonorrhoeae or Chlamydia trachomatis

Definitive criteria

  • Histopathologic evidence of endometritis on endometrial biopsy
  • Transvaginal sonography or magnetic resonance imaging techniques showing thickened, fluid-filled tubes with or without free pelvic fluid or tubo-ovarian complex
  • Laparoscopic abnormalities consistent with PID

PID, pelvic inflammatory disease

* Empiric treatment is indicated in sexually active women considered at risk for PID if all three findings are present.

 
References:

  1. Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2002.MMWR 2002;51(No. RR-6):48-52

Created: August 24, 2005