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Infect Dis Obstet Gynecol. 2005 Dec;13(4):183-90.

Microbiology profile in women with pelvic inflammatory disease in relation to IUD use.

Author information

1
Department of Women's and Children's Health, International Maternal and Child Health. i.viberga@apollo.lv

Abstract

OBJECTIVE:

To study the microbial characteristics of patients with pelvic inflammatory disease (PID) and the possible impact of an intrauterine device (IUD) on the microbial environment in women presenting with PID.

METHODS:

Case-control study, investigating 51 women with acute PID and 50 healthy women. Endocervical specimens for microbiological investigation were obtained at gynaecological examination.

RESULTS:

IUD users with PID had significantly more Fusobacteria spp. and Peptostreptococcus spp. than non-IUD users with PID. The finding of combinations of several anaerobic or aerobic microbes was associated with a significantly increased risk of PID and with complicated PID. In IUD users, the combinations of several anaerobic/aerobic microbes were associated with an increased risk of PID, irrespective of duration of IUD use. Long-term IUD use appeared to be associated with an increased risk of a PID being complicated.

CONCLUSION:

The finding of several anaerobic or aerobic microbes appears to be associated with PID in users of IUD.

PMID:
16338777
PMCID:
PMC1784576
DOI:
10.1080/10647440500097601
[Indexed for MEDLINE]
Free PMC Article

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