C3b PID Surveillance in California

Wednesday, March 10, 2010: 10:40 AM
Dogwood A (M1) (Omni Hotel)
Gail Bolan, MD, STD Control Branch, California Department of Public Health, STD Control Branch, Richmond, CA
PID case reporting has been required in California since 1989.  Data from 1998-2008 indicated declines in cases and rates/100,000 from 1689 (10.1) in 1998 to 1033 (5.4) in 2008, consistent with national trends.  However, passive provider-based surveillance may reflect significant under-reporting.  Adjunct PID surveillance has included analysis of statewide hospital discharge data for 1995, 2000, and 2005, with the case definition based on ICD-9 codes for acute/unspecified PID—these data also indicated decreasing trends.  Challenges remain for improving these surveillance systems, and for understanding the association of key factors (e.g. shifts from in-patient to out-patient management; expanded chlamydia screening) with observed trends in PID.