P1-S2.70 The detection and management of pelvic inflammatory disease in aboriginal women in Central Australia: challenges of a remote high prevalence setting

Background In many remote Aboriginal communities in Australia, the prevalence of gonorrhoea and chlamydia is very high. Client mobility, frequent staff turnover and delays in laboratory results hamper timely treatment. Untreated gonorrhoea and chlamydia can lead to pelvic inflammatory disease (PID). In Central Australia, current remote health guidelines recommend three levels of criteria for diagnosing PID in women with lower abdominal pain: (1) cervical excitation or adnexal tenderness or uterine tenderness; or (2) in the absence of a bimanual examination, vaginal discharge; or (3) in the absence of vaginal discharge in women aged