Commentary

Although the estimated incidence of PID is decreasing,1 the prevalence of self-reported lifetime PID of 4.4% noted in the latest Centers for Disease Control and Prevention (CDC) survey implies that 2.5 million women of reproductive age in this country have had PID. Because many of these patients can be expected to have significant morbidity related to pain, infertility, and ectopic pregnancy, the burden of PID remains very high.2 Thus, emergency physicians should follow the CDC STI screening recommendations and screen sexually active female patients younger than 25 years for chlamydia and gonorrhea.

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