204539 Pelvic Inflammatory disease in adolescents: Are there clues to tell us who will seek follow-up care

Tuesday, November 10, 2009

Aleya Lyn , Pediatrics, Johns Hopkins Hospital, Baltimore, MD
Maria Trent, MD, MPH , Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD
Objective: The CDC advises providers to determine an adolescents ability to ‘tolerate an outpatient regimen' in order to make a decision about dispositions for pelvic inflammatory disease (PID). The objective of this study was to determine if there are baseline factors that could be used for risk-stratification prior to making a decision about outpatient management for adolescents with PID based on their ability to complete follow-up visits. Methods: 126 adolescents in a randomized trial of a behavioral intervention for PID were examined. Patients completed computerized self interviews at baseline and were scheduled to see a disease intervention specialist at 2 weeks. The key outcome was completion of the 2 week interview. Reproductive health history (STD, pregnancy, sexual debut, lifetime partners) and home environment stability (family structure, insurance, school status) were evaluated as primary predictors using regression analysis. Results: Half of the participants had a prior history of STI and/or pregnancy, most resided in female-headed, single parent households, and had more than one lifetime partners. Of the factors examined, only having less than one lifetime partner was associated with being more likely to complete the follow-up visits ( AOR 8.1, 95% CI: 1.0; 65.3, p= 0.05), controlling for group status. Conclusion: Among adolescents with PID, only the least sexually experienced girls are more likely to complete the 2 week follow-up. This suggests that risk-based assessments may be less useful in determining ability to tolerate outpatient PID regimens and that caution should be used in managing the disposition of affected girls.

Learning Objectives:
Evaluate the amount of care that an adolescent with Pelvic Inflammatory disease may need

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have presented at a professional conference before. I have also been working hands on as a research assistant with this study for the past two and a half years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.