1887

Abstract

Bacteria isolated from 108 intra-uterine contraceptive devices (IUCD) removed from patients with pelvic inflammatory disease (PID), haemorrhage, pregnancy and from asymptomatic women, and from the genital tracts of 66 healthy controls not wearing an IUCD, were studied. No significant differences were found in the types of micro-organisms or isolation rates from IUCDs removed from women in the various clinical groups. The isolation rate of anaerobic bacteria from IUCDs removed from asymptomatic wearers was significantly lower than that from controls, with the exception of the isolation rate of actinomyces which was significantly higher in IUCD wearers and was recovered only from IUCDs. The isolation rates of the different bacterial species varied with the duration of the device The presence of a copper IUCD altered the bacterial flora of the female genital tract. The insertion of such a device and the ecological changes that follow play a crucial role in the development of PID.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/00222615-25-4-245
1988-04-01
2022-01-24
Loading full text...

Full text loading...

/deliver/fulltext/jmm/25/4/medmicro-25-4-245.html?itemId=/content/journal/jmm/10.1099/00222615-25-4-245&mimeType=html&fmt=ahah

References

  1. Bonnez W, Lattimer G, Mohanraj N A, Johnson T H. 1985; Actinomyces naeslundii as an agent of pelvic actinomycosis in the presence of an intrauterine device. Journal of Clinical Microbiology 21:273–275
    [Google Scholar]
  2. Burkman R, Schlesselman S, McCaffrey L, Gupta P K, Spence M. 1982; The relationship of genital tract actinomycetes and the development of pelvic inflammatory disease. American Journal of Obstetrics and Gynecology 143:585–589
    [Google Scholar]
  3. Chantler E N. 1984; Degradation of the copper-releasing intrauterine contraceptive device and its significance. British Journal of Obstetrics and Gynaecology 91:172–181
    [Google Scholar]
  4. Dische F E, Burt J M, Davidson N J H, Puntambekar S. 1974; Tubo-ovarian actinomycosis associated with intrauterine contraceptive devices. Journal of Obstetrics and Gynaecology of the British Commonwealth 81:724–729
    [Google Scholar]
  5. Duguid H L D. 1982; Studies on uterine tract infections and the IUCD with special reference to actinomycetes. British Journal of Obstetrics and Gynaecology 4:32–40
    [Google Scholar]
  6. Elhag K M, Bahar A M, Mahajan K K. 1987; Difficulties in the serodiagnosis of infection with the fragilis group of Bacteroides. Journal of Medical Microbiology 24:125–131
    [Google Scholar]
  7. Eschenbach D A. 1983; Vaginal infection. Clinics in Obstetrics and Gynecology 26:186–202
    [Google Scholar]
  8. Gorbach S L, Bartlett J G. 1974; Anaerobic infections (First of three parts). New England Journal of Medicine 290:1177–1184
    [Google Scholar]
  9. Hager W D. 1979; Pelvic colonization with actinomyces in women using intrauterine contraceptive device. American Journal of Obstetrics and Gynecology 135:680–684
    [Google Scholar]
  10. Hanna N F, Taylor-Robinson D, Kalodiki-Karamanoli M, Harris J R W, McFadyen I R. 1985; The relationship between vaginal pH and the microbiological status in vaginitis. British Journal of Obstetrics and Gynaecology 92:1267–1271
    [Google Scholar]
  11. Holdeman L V, Cato E P, Moore W E C. 1977; Anaerobic laboratory manual. , 4. Anaerobe Laboratory Virginia Polytechnic Institute and State University; Blacksburg, VA, USA:
    [Google Scholar]
  12. Isenberg H D, Washington J A, Ballows A, Sonnenwirth A C. 1980; Collection, handling and processing of specimens. Lenette E H. Manual of clinical microbiology, 3. American Society for Microbiology; Washington DC:52–82
    [Google Scholar]
  13. Jones M C, Buschmann B O, Dowling E A, Pollock H M. 1979; The prevalence of Actinomycetes-like organisms found in cervicovaginal smears of 300 IUD wearers. Acta Cytologica 23:282–286
    [Google Scholar]
  14. Keebler C, Chatwani A, Schwartz R. 1983; Actinomycosis infection associated with intrauterine contraceptive devices. American Journal of Obstetrics and Gynecology 145:596–599
    [Google Scholar]
  15. Lomax C W, Harbert G M, Thornton W N. 1976; Actinomycosis of the female genital tract. Obstetrics and Gynecology 48:341–346
    [Google Scholar]
  16. Luff R D, Gupta P K. 1977; Actinomycetes-like organisms in wearers of intrauterine contraceptive devices. American Journal of Obstetrics and Gynecology 129:476–477
    [Google Scholar]
  17. Nayar M, Chandra M, Chitraratha K, Kumari Das S, Rai Chowdhary G. 1985; Incidence of actinomycetes infection in women using intrauterine contraceptive devices. Acta Cytologica 29:111–116
    [Google Scholar]
  18. Nilsson C G, Vartiainen E, Widholm O. 1981; Bacterial cultures from intrauterine devices removed from patients with pelvic inflammatory disease. Acta Obstetrica et Gynecologica Scandanavica 60:563–566
    [Google Scholar]
  19. Peloux Y, Raoult D, Chardon H, Escarguel J P. 1985; Actinomyces odontolyticus infections : review of six patients. Journal of Infection 11:125–129
    [Google Scholar]
  20. Rogosa M, Cumminis C S, Lelliott R A, Keddie R M. 1974; Actinomycetes and related organisms. Buchanan R E, Gibbons N E. Bergeys manual of determinative bacteriology, 8. Williams and Wilkins; Baltimore, MD, USA:
    [Google Scholar]
  21. Sparks R A, Purrier B G A, Watt P J, Elstein M. 1981; Bacteriological colonization of uterine cavity : role of tailed intrauterine contraceptive device. British Medical Journal 282:1189–1191
    [Google Scholar]
  22. Sykes G S, Shelley G. 1981; Actinomyces-like structures and their association with intrauterine contraceptive devices, pelvic infection and abnormal cervical cytology. British Journal of Obstetrics and Gynaecology 88:934–937
    [Google Scholar]
  23. Waler S M, Rolla G. 1982; Comparison between plaque inhibiting effect of chlorhexidine and aqueous solutions of copper-and silver-ions. Scandanavian Journal of Dental Research 90:131–133
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/00222615-25-4-245
Loading
/content/journal/jmm/10.1099/00222615-25-4-245
Loading

Data & Media loading...

Most cited this month Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error