Cervicitis

Background

Clinical Features

Edematous and reddened cervix.

Differential Diagnosis

Pelvic Pain

Pelvic origin

Abdominal origin

Evaluation

  • Swab (for GC, Chlamydia)
    • Patient-obtained vaginal swabs are MORE sensitive than clinician-collected endocervical swabs for GC/Chlamydia[3][4]
  • Wet mount
  • Urine pregnancy test

Management

Treatment covers both gonorrhea and chlamydia

Uncomplicated Infection

Cephalosporin Allergy

Partner treatment

Associated Bacterial Vaginosis or Trichomonas vaginalis

Non-Pregnant

Pregnant

Only treat if the patient is symptomatic and avoid breast feeding until 24-hrs after last dose

Sexual Partner Treatment

Women with HIV Infection

Disposition

  • Discharge

See Also

External Links

References

  1. Norris DL, Young JD. UTI. EM Clin N Am. 2008; 26:413-30.
  2. Norris DL, Young JD. UTI. EM Clin N Am. 2008; 26:413-30.
  3. Schoeman SA, Stewart CM, Booth RA, Smith SD, Wilcox MH, Wilson JD. Assessment of best single sample for finding chlamydia in women with and without symptoms: a diagnostic test study. BMJ. 2012;345:e8013.
  4. Stewart CM, Schoeman SA, Booth RA, Smith SD, Wilcox MH, Wilson JD. Assessment of self taken swabs versus clinician taken swab cultures for diagnosing gonorrhoea in women: single centre, diagnostic accuracy study. BMJ. 2012;345:e8107.
  5. 2015 CDC guidelines
  6. CDC: 2015 Sexually Transmitted Diseases Treatment Guidelines
  7. Kissinger P et al. Single-dose versus 7-day-dose metronidazole for the treatment of trichomoniasis in women: An open-label, randomised controlled trial. Lancet Infect Dis 2018 Oct 5; [e-pub].
  8. CDC Trichomoniasis 2015. https://www.cdc.gov/std/tg2015/trichomoniasis.htm
  9. CDC. Sexually transmitted diseases treatment guidelines. MMWR Recomm Rep 2010;59(No. RR-12)