Evidence map›Paper›PMID 38845565›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2026

Systematic Review and Meta-analysis of the Association Between Mycoplasma genitalium and Pelvic Inflammatory Disease (PID).

Kay Htaik, Lenka A Vodstrcil, Erica L Plummer, Amelia M Sfameni, Dorothy A Machalek, Lisa E Manhart, Catriona S Bradshaw

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Comparative Epidemiology and Co-Detection ofPathogens (Basel, Switzerland) · 2026
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  4. Trends and Themes inOpen forum infectious diseases · 2026
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  6. PreconceptionmedRxiv : the preprint server for health sciences · 2026
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  9. Limited Role ofObstetrics and gynecology international · 2026
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  11. Novel features ofMicrobial genomics · 2026
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  12. Article
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  14. Article
  15. Article
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  17. Prevalence and epidemiology ofFrontiers in public health · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kay HtaikMelbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia.ORCID 0000-0003-1754-4920
Lenka A VodstrcilMelbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia.ORCID 0000-0003-3679-9195
Erica L PlummerMelbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia.ORCID 0000-0001-5710-2671
Amelia M SfameniSchool of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Dorothy A MachalekCentre for Women's Infectious Diseases, The Royal Women's Hospital, Parkville, VIC, Australia.ORCID 0000-0002-4101-8085
Lisa E ManhartDepartments of Epidemiology and Global Health, Center for AIDS and STD, University of Washington School of Public Health, Seattle, Seattle, Washington, USA.ORCID 0000-0002-4896-7654
Catriona S BradshawMelbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia.ORCID 0000-0002-6643-5678

Funding

Australian Government Research Training ProgramNational Health and Medical Research Council 1173361
6 · The paper itself

Abstract

backgroundDifferences in opinion concerning the contribution of Mycoplasma genitalium to pelvic inflammatory disease (PID) has resulted in inconsistencies across global testing and treatment guidelines. We conducted a systematic review and meta-analysis to determine the association between M. genitalium and PID and M. genitalium positivity within PID cases to provide a contemporary evidence base to inform clinical practice (PROSPERO registration: CRD42022382156).

methodsPubMed, Embase, Medline, and Web of Science were searched to 1 December 2023 for studies that assessed women for PID using established clinical criteria and used nucleic acid amplification tests to detect M. genitalium. We calculated summary estimates of the (1) association of M. genitalium with PID (pooled odds ratio [OR]) and 2) proportion of PID cases with M. genitalium detected (pooled M. genitalium positivity in PID), using random-effects meta-analyses, with 95% confidence intervals (CI).

resultsNineteen studies were included: 10 estimated M. genitalium association with PID, and 19 estimated M. genitalium positivity in PID. M. genitalium infection was significantly associated with PID (pooled OR = 1.67 [95% CI: 1.24-2.24]). The pooled positivity of M. genitalium in PID was 10.3% [95% CI: 5.63-15.99]. Subgroup and meta-regression analyses showed that M. genitalium positivity in PID was highest in the Americas, in studies conducted in both inpatient and outpatient clinic settings, and in populations at high risk of sexually transmitted infections.

conclusionsM. genitalium was associated with a 67% increase in odds of PID and was detected in about 1 of 10 clinical diagnoses of PID. These data support testing women for M. genitalium at initial PID diagnosis.

Indexed as

meta-analysisMycoplasma genitaliumpelvic inflammatory diseasesystematic reviewwomen’s health

Identifiers

PMID38845565
PMCPMC13016663

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.