In the May 1998 issue of the ARCHIVES, there is an article by Benaim et al,1 describing the treatment practices of emergency department physicians with regard to management of PID in adolescents. It described how the treatment recommended by more than half of the physicians surveyed fell short of that listed in the CDC's 1993 "Sexually Transmitted Disease Treatment Guidelines,"2 most notably in the area of hospitalization of adolescents with PID. Since acceptance of this article for publication, the CDC has revised its treatment guidelines for sexually transmitted diseases.3 It removed adolescence from its list of specific criteria for hospitalization, continued to recommend hospitalization for patients who are unable to follow an outpatient regimen, and reiterated the necessity of patient follow up within 72 hours of treatment initiation.
Seitz ML. Difficulties in Treating Adolescents With Pelvic Inflammatory Disease With the Revised Treatment Guidelines. Arch Pediatr Adolesc Med. 1999;153(1):91-92. doi: