Which of the following is an accepted indication for hospitalisation and parenteral therapy in a woman with acute pelvic inflammatory disease?

• A A tubo-ovarian abscess measuring 6 cm on ultrasound ✓
• B Mucopurulent cervical discharge with mild bilateral adnexal tenderness
• C Cervicitis diagnosed on NAAT in an asymptomatic partner contact
• D Recurrent vulvovaginal candidiasis with pelvic discomfort

Explanation

Accepted admission criteria include tubo-ovarian abscess, pregnancy, severe illness with high fever and vomiting, inability to tolerate or fail to respond to oral therapy, and surgical emergency that cannot be excluded. Mild uncomplicated PID is managed orally as an outpatient with re-evaluation at 72 hours. Asymptomatic chlamydial contact needs single-dose azithromycin, and candidiasis is not PID at all.

Reference: Williams Gynecology, 4th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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