“CARACTERIZACIÓN CLÍNICA DE LA ENFERMEDAD INFLAMATORIA PÉLVICA EN UN CENTRO MÉDICO DE GINECOLOGÍA Y OBSTETRICIA EN LA CIUDAD DE GUAYAQUIL, PERÍODO 2010-2018.”

Abstract

Objective: Clinical characterization of pelvic inflammatory disease in a gynecology and obstetrics medical center in the city of Guayaquil, period 2010-2018. Methodology: cross-sectional and retrospective descriptive study, the collection of which will be carried out through clinical records obtained from a gynecology and obstetrics medical center in the city of Guayaquil, period 2010-2018. Results: The cases were chosen from 2000 medical records from which 200 stories of patients that met the criteria for pelvic inflammatory disease were systematically taken. The patients had a mean age of 30.6 ± 7.7 years. It was found that the most frequent age group was between the ages of 21 to 30 years with 47%. The average onset of active sexual life of the patient was between 20.3 ± 3.8 years. In the clinical point of view, the most frequent symptom was pelvic pain followed by purulent leucorrhoea. Within the population, the most frequent stage was I, with a percentage of 76.5%, followed by stage II with 21% and finally stage III with a percentage lower than 2.5%. The most frequent risk factor was the history of infection with 86.5%. Conclusions: The main risk factors for pelvic inflammatory disease were the previous history of pelvic inflammatory infection, contraceptive use and uterine curettage. In relation to the age and clinical stage of the disease, stage I and II were more prevalent between 21 and 30 years of age, however stage III was found to be more frequent in older women (31-40 years). At the time of the study, stage I (salpingitis without peritonitis) was the most frequent in the population.