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[Actinomyces and other bacteria isolated from cervical cultures of women using IUDs]
1Hacettepe Universitesi Tip Fakültesi Mikrobiyoloji Anabilim Dali Araştirma Görevlisi.
Abstract:
In this study we performed endocervical cultures from 517 patients with infection. In 75 of these 517 cultures (14.5%) Actinomyces has been grown. The incidence of Actinomyces has increased in correlation with IUD period, but the type of IUD has not affected the incidence of Actinomyces. Actinomycosis of uterus is usually superficial. It rarely spreads and causes pelvic actinomycosis. Even it can change to systemic infection. For this reason, in women who have used IUDs for long period Actinomyces infection should be kept in mind. Clinicians should be in corporation with the laboratories, this is important for identification of the microorganism and for the right therapy.
Insights
Actinomyces bacteria were found in 14.5% of endocervical cultures from women using intrauterine devices (IUDs). Prolonged IUD use increased Actinomyces incidence, potentially leading to pelvic or systemic infections.
Area of Science:
- Gynecology
- Microbiology
- Infectious Diseases
Context:
- Intrauterine devices (IUDs) are common contraceptives.
- Actinomyces infections are increasingly recognized in IUD users.
- Endocervical cultures are crucial for diagnosing gynecological infections.
Purpose:
- To determine the incidence of Actinomyces in patients undergoing endocervical cultures.
- To investigate the correlation between IUD usage duration and Actinomyces growth.
- To highlight the clinical significance of Actinomyces in IUD users.
Summary:
- Actinomyces was identified in 14.5% (75/517) of endocervical cultures.
- A positive correlation was observed between the duration of IUD use and Actinomyces incidence.
- The type of IUD did not influence the occurrence of Actinomyces.
Impact:
- Actinomycosis, often superficial in the uterus, can progress to pelvic or systemic infections.
- Clinicians should consider Actinomyces in long-term IUD users.
- Collaboration between clinicians and laboratories is vital for accurate diagnosis and treatment.