of oral antibiotics because of either poor compliance or vomiting and for those whose illnesses have not responded to prior oral antibiotics Patients diagnosed with PID should receive follow-up care within days of an ED visit The average duration of symptoms among women with gonococcal salpingitis treated with oral antibiotics is to days; the corresponding interval for nongonococcal salpingitis is to days A poor response to therapy should alert the physician to the possibilities of inadequate compliance, abscess formation, or an alternative diagnosis Follow-up for all patients should include reexamination at the end of antibiotic therapy to check for residual pelvic tenderness and adnexal masses All patients with gonococcal and chlamydial infections should be counseled about the HIV infection and offered serologic screening for both syphilis and HIV infection The importance of identifying and treating sexual partners of women with PID cannot be overemphasized About 25% of such men have asymptomatic urethritis and are unlikely to seek treatment on their own If these men are not treated, they become part of the reservoir of undetected carriers of STIs The success of various patient referral strategies conducted by public healthcare personnel to achieve treatment of partners ranges from 29% to 59% The success rate of patient-initiated partner treatment is unknown in the adolescent population, although several small studies in adult women suggest this strategy may reduce the rate of reinfection The legal and policy landscape around expedited partner therapy is complicated and constantly changing; the CDC maintains an up-to-date website in order to assist clinicians who wish to provide this treatment to patients (http://www.cdc.gov/std/ept/legal/default.htm ) In addition, the CDC offers a free mobile app available for download entitled “the STD Tx Guidelines” for a quick up-to-date reference guide on the identification and treatment of sexually transmitted infections All sexual partners in contact with a patient with PID (or any STI) within the prior months should be treated