Factors predicting STI-positive cervicitis and pelvic inflammatory disease, and implications on antibiotic use: a cross-sectional analysis

This study identified several characteristics that predicted STI-positive cervicitis and PID. However, none predicted STI-positivity with high degrees of confidence. Presumptive treatment leads to significant unnecessary antibiotic use, but ceftriaxone may have additional coverage beyond gonorrhoea. Rapid molecular point-of-care testing should be trialled to reduce unnecessary antibiotics for these syndromes - starting with cervicitis.

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Publication Details

Journal
Sexual Health
Published
2026-03-23
DOI
https://doi.org/10.1071/sh25221
Primary Topic
Reproductive tract infections research
Type
article
Field-Weighted Citation Impact
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article

Factors predicting STI-positive cervicitis and pelvic inflammatory disease, and implications on antibiotic use: a cross-sectional analysis

Arthur Wong, Shreya Chawla, Rick Varma
Sexual Health
Reproductive tract infections research
article

Factors predicting STI-positive cervicitis and pelvic inflammatory disease, and implications on antibiotic use: a cross-sectional analysis

Arthur Wong, Shreya Chawla, Rick Varma
article en

Abstract

This study identified several characteristics that predicted STI-positive cervicitis and PID. However, none predicted STI-positivity with high degrees of confidence. Presumptive treatment leads to significant unnecessary antibiotic use, but ceftriaxone may have additional coverage beyond gonorrhoea. Rapid molecular point-of-care testing should be trialled to reduce unnecessary antibiotics for these syndromes - starting with cervicitis.

Sexual HealthVol. 23(2)
New South Wales Department of Health (AU), Sydney Hospital (AU), Sydney Sexual Health Centre (AU), South Eastern Sydney Local Health District (AU)
Good health and well-being
Openalex Percentile: Top 13%
Reproductive tract infections research
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