prev next front |1 |2 |3 |4 |5 |6 |7 |8 |9 |10 |11 |12 |13 |14 |15 |16 |17 |18 |19 |20 |21 |22 |23 |24 |25 |26 |27 |28 |29 |30 |review
You see the same kind of thing with black women, though it’s much closer. Part of the issue is that the women that we’re studying are very unlike the general population. They are very low socio-economic status women, with probably very different lifestyles, different use of contraception, frequency of sexual intercourse, and so on. I think the black rates tell us a much more cleaner story because unfortunately, as you know, in the U.S. black populations tend to be lower socio-economic status – there’s not a lot of economic variability. However, the PEACH rates are certainly not lower even just amongst black women or when age-stratitifed than the U.S. rates. So when we saw that women with endometritis were not very different than women without it, there were two conclusions that immediately came to mind. One is that among women who have symptoms of PID, there is no difference between women who do or do not have endometritis. Our data actually suggest, to the degree that we can suggest anything based on this fairly bad comparison group, that these women are not really in bad shape. What that may actually suggest is that antibiotics work, whether they’re given on an inpatient or outpatient basis. Current antibiotics with reasonably spectrum actually do fairly well in treating this condition. So while there is data that shows how awful the disease is, those data all come from a study that was done 30 years ago in Sweden when antibiotics were very different. Now we have these data from the U.S. that suggest it might now be a different case.
prev next front |1 |2 |3 |4 |5 |6 |7 |8 |9 |10 |11 |12 |13 |14 |15 |16 |17 |18 |19 |20 |21 |22 |23 |24 |25 |26 |27 |28 |29 |30 |review