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pubmed:abstractText |
The incidence of intrauterine device (IUD)-associated cervicovaginal actinomycosis was evaluated. Papanicolaou-stained cervicovaginal smears from 1,520 women with IUDs were reviewed for the presence of Actinomyces-like organisms. The overall colonization rate was 11.4%. The colonization rates for the Progestasert, plastic IUDs and copper IUDs were 14.3%, 10.8% and 6.69%, respectively. The colonization rate appeared to increase with the duration of IUD use. The relatively high cervicovaginal Actinomyces colonization rate suggests that all patients with IUDs should undergo annual cytologic smears, with specific attention given to the presence of Actinomyces-like organisms.
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pubmed:otherAbstract |
PIP: A retrospective study of data from the Temple University Hospital Family Planning clinic in Philadelphia, Pennsylvania, for the period 1975-85 was undertaken to evaluate IUD use and the associated rate of cervicovaginal colonization of actinomycosis. All 1745 patients had a cytological smear before IUD insertion, and none showed evidence of Actinomyces-like organisms. During the study period, 1520 patients were followed regularly, and evidence of Actinomyces-like organisms appeared in 173 patients, for a colonization rate of 11.4%. The number of positive smears per user for each type of IUD was as follows: 120/960 for Saf-T-Coil, 17/254 for Copper-7, 7/49 for Progestasert, 8/36 for Lippes Loop, 2/15 for Dalkon Shield, 0/5 for Birnberg Bow, and 19/201 unknown. The type of IUD significantly affected the interval between insertion and detection of colonization, with Progestasert having the shortest duration of use prior to onset. Colonization rates also increased with duration of use for all IUDs, especially after 24 months. In this study, the first evidence of Actinomyces-like organisms occurred after 7 months of use. IUD-associated Actinomyces must be detected and treated promptly to avoid the significant implications of this infection.
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