While many women with pelvic inflammatory disease (PID) can be managed as outpatients, sometimes it is necessary to hospitalize them for effective management.

Criteria for when to consider hospitalization in women with PID:

(1) a surgical emergency such as appendicitis or ectopic pregnancy cannot be excluded

(2) presence of pelvic abscess

(3) pregnancy

(4) HIV infection

(5) patient is an adolescent

(6) severe illness, nausea, vomiting preclude compliance

(7) patient cannot follow or comply with treatment regimen

(8) failure to respond to outpatient therapy

(9) clinical reassessment within 72 hours of starting therapy not otherwise possible

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