Actinomyces in cervical smears of women using the intrauterine device in Singapore

Contraception
Vanaja KalaichelvanKuldip Singh

Abstract

Reproductive tract actinomyces have been associated with the use of intrauterine contraceptive device (IUCD). Thus, there is a need to evaluate the prevalence of colonization with Actinomyces israelii in a cohort of Singaporean women using an IUCD. Second, the occurrence of actinomycosis in colonized women and the clinical need to remove the IUCD and/or possibly the need to treat asymptomatic carriers with antibiotics were evaluated. The study population consisted of 1,108 IUCD users attending the Fertility Control Clinic, National University Hospital, Singapore. In our study, the prevalence of actinomyces-positive cervical smears among IUCD users was 13.7%; the incidence of actinomyces-positive smears was similar with Copper T (34.2%), Multiload (32.9%) and Nova T (32.9%) IUCDs. We found no association with the duration of use of IUCD and actinomyces infection. In our study, 150 out of 152 (98.7%) IUCD users with actinomyces-positive smears were asymptomatic, and only 2 out of 152 (1.3%) who had actinomyces-positive cervical smears developed pelvic inflammatory disease at 6 months. Our study suggests that removal of the IUCD in asymptomatic women with actinomyces-positive cervical smear is not necessary. Moreover, we suggest t...Continue Reading

References

Nov 1, 1989·The Australian & New Zealand Journal of Obstetrics & Gynaecology·A G Cleghorn, R G Wilkinson
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Citations

Feb 10, 2016·Gynécologie, obstétrique & fertilité·C MbarkiH Oueslati
Oct 28, 2011·Gynécologie, obstétrique & fertilité·H GronierG Robin
May 1, 2010·Gynécologie, obstétrique & fertilité·H MarretG Body
Jul 3, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·O T GulerA Ayhan
Nov 15, 2008·Cerebral Cortex·Anna Hoerder-SuabedissenZoltán Molnár
Mar 20, 2015·Clinical Microbiology Reviews·Eija Könönen, William G Wade
Apr 2, 2019·Acta Medica (Hradec Králové)·Vladimír BartošMartin Sudek
Feb 26, 2019·BMJ Case Reports·Malathy BalakrishnanEdmund Leung
Mar 22, 2020·Journal of Clinical Medicine·Julie CarraraCharlotte Vaysse

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