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Br J Fam Plann. 1998 Oct;24(3):95-7.

A review of bacteriological culture of removed intrauterine contraceptive devices.

Author information

1
Victoria Infirmary, Langside, Glasgow G42 9TY, UK.

Abstract

A retrospective review of clinical and microbiological data was made, over an 18 month period, of intrauterine contraceptive devices removed and sent for examination. An association with symptoms at time of removal was found for Streptococcus agalactiae, Streptococcus milleri, enterobacteria and obligate anaerobes. Thirty four per cent of IUDs yielded one or more Actinomycesspecies spp but no correlation with symptoms was found. In the small group of symptomatic patients who were followed up, no difference in outcome was observed between those who were treated with antibiotics and those who were not.

PIP:

Although the bacterial flora of the vagina and ectocervix are known to vary considerably between individuals, they remain rather constant over time in a given person. Findings are presented from a study conducted to relate the results of a simple qualitative bacteriological protocol, applied to removed IUDs received in the laboratory between January 1994 and October 1995, to the clinical presentations and outcome of the patients from whom they were taken. 218 IUDs removed from 217 women were examined during the study period, of which 123 were included in the study. Highly diverse culture results were obtained from the IUDs. An association with symptoms at time of removal was found for Streptococcus agalactiae, S. milleri, enterobacteria, and obligate anaerobes. 34% of IUDs yielded one or more Actinomyces species, but no correlation with symptoms was found. In the small group of symptomatic patients who were followed up, no difference in outcome was observed between those who were treated with antibiotics and those who were not. When IUDs are removed from women experiencing symptoms potentially related to their IUD use and sent for culture, the results should be awaited before beginning therapy on the basis of only clinical symptoms.

PMID:
9855713
[Indexed for MEDLINE]

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