Assessment of postprocedural pelvic infection

Investigate suspected postprocedural pelvic infection with a clinician-collected endocervical swab for:

nucleic acid amplification testing (NAAT) (eg polymerase chain reaction [PCR]) for Chlamydia trachomatis, Neisseria gonorrhoeae, and Mycoplasma genitalium
Gram stain, culture and susceptibility testing for N. gonorrhoeae.

Note: Investigate suspected postprocedural pelvic infection with an endocervical swab.

If speculum examination is not possible, a self-collected¹ vaginal swab or a first-pass² urine sample can be used.

Before starting antibiotic therapy, collect blood samples for culture and susceptibility testing for patients with sepsis or septic shock.

¹ For information on methods of self-collection of vaginal swab samples, see the diagnosis section of the ‘Pelvic inflammatory diseases (PID)’ topic in the Australian STI Management Guidelines for Use in Primary Care.Return

² A first-pass urine specimen is the first part of the urine stream, which can be collected at any time of the day; see the diagnosis section of the ‘Pelvic inflammatory diseases (PID)’ topic in the Australian STI Management Guidelines for Use in Primary Care for more information.Return