Pelvic inflammatory disease in Zimbabwe. Guidelines for diagnosis and treatment

Management of Pelvic Inflammatory Disease in Clinical Practice

Pelvic inflammatory disease (PID) is a common reproductive health disorder among women of reproductive age. The treatment of PID has slowly evolved, reflecting changing antibiotic susceptibility and advancements in therapeutics and research; however, it has been largely unchanged over the last several decades. The most recent treatment recommendations consider the severity of infection, clinical presentation, and the polymicrobial nature of the disease. In addition, the role of novel organisms like Mycoplasma genitalium in PID is of emerging significance. PID treatment guidance offers oral and parenteral treatment options based on the patient's clinical status; however, deviations from the published guidelines are a general concern. Point of care (POC) testing for precision care, provision of adherence support, optimizing self-management and prevention strategies, and other alternative or synergistic approaches that maximize treatment outcomes will be instrumental for addressing the current challenges in PID diagnosis and management.

HIV/AIDS in eastern and southern Africa

"This article reviews some recent key books on HIV/AIDS in Africa. It does so by examining the debates relating to the extent and possible future development of HIV/AIDS referring to the discussions about demographic, economic and social impacts in especially eastern and southern Africa. It explores the so-called doomsday scenarios and addresses themes linked to the important and increasing attention being paid to the gendered aspects of HIV/AIDS."