Cervical smears from 293 users of intrauterine contraceptive devices attending family planning clinics in East Fife, Dundee, and Angus were stained by Papanicolaou and Gram's methods and examined for actinomyces-like organisms. Of the 128 women using plastic devices, 40 gave smears positive for these organisms. In contrast only two positive smears were obtained from the 165 women using devices containing copper and none from a control group of 300 women taking oral contraceptives. Colonisation was more common in women whose plastic devices had been in situ for over two years. Correlations between the presence of these organisms and recorded incidences of pain and both clinical and cytological evidence of inflammation of the lower genital tract were highly significant (p = 0.00001, p < 0.00001, and p < 0.00001 respectively). The results suggest that plastic intrauterine contraceptive devices predispose to colonisation by actinomyces-like organisms, particularly after long-term use. Hence if the apparently bacteriostatic action of copper devices is confirmed these should probably be more widely used.
The risk of pelvic inflammatory disease in women using intrauterine contraceptive devices as compared to non-users
Cytologic detection and clinical significance of Actinomyces israelii in women using intrauterine contraceptive devices
Genital actinomycosis and intrauterine contraceptive devices. Cytopathologic diagnosis and clinical significance
Risk of pelvic inflammatory disease among intrauterine-device users irrespective of previous pregnancy
The incidence of actinomyces-like organisms in Papanicolaou-stained smears of copper- and levonorgestrel-releasing intrauterine devices
Scanning electron and confocal scanning laser microscopy imaging of the ultrastructure and viability of vaginal Candida albicans and non- albicans species adhered to an intrauterine contraceptive device
Polypropylene IUCD retrieval fibers: surface morphology, material properties, microbial attachment, and migration
Influence of removal of intrauterine contraceptive devices on colonisation of the cervix by actinomyces-like organisms
Actinomyces-like structures and their association with intrauterine contraceptive devices, pelvic infection and abnormal cervical cytology
Detection of Actinomyces spp. in cervical exudates from women with cervical intraepithelial neoplasia or cervical cancer
Actinomycosis affecting the fallopian tube and ovary: report of 3 cases, with special reference to 2 cases following IUD application
Synergistic effect of amphotericin B and tyrosol on biofilm formed by Candida krusei and Candida tropicalis from intrauterine device users
Actinomyces naeslundii as an agent of pelvic actinomycosis in the presence of an intrauterine device.
Actinomycosis is a rare, chronic, and slowly progressive granulomatous disease caused by filamentous Gram positive anaerobic bacteria from the Actinomycetaceae family (genus Actinomyces). The disease is characterised by the formation of painful abscesses in the mouth, lungs,breast or gastrointestinal tract. Discover the latest research on actinomycosis here.