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Association between diaphragm use and asymptomatic bacteriuria.

B A Peddie, V A Bishop, E E Blake

    The Australian & New Zealand Journal of Obstetrics & Gynaecology
    |August 1, 1986
    PubMed
    Summary
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    Diaphragm use is linked to a higher prevalence of asymptomatic bacteriuria, particularly Gram-negative infections, in women. Other contraceptive methods like intrauterine contraceptive devices and oral contraceptives showed lower rates.

    Area of Science:

    • Urology
    • Gynecology
    • Infectious Diseases

    Background:

    • Asymptomatic bacteriuria is common in women.
    • Contraceptive methods may influence urinary tract infection (UTI) risk.

    Purpose of the Study:

    • To assess asymptomatic bacteriuria prevalence across different contraceptive methods.
    • To identify if contraceptive choice impacts bacteriuria rates.

    Main Methods:

    • A study of 320 women at a family planning center.
    • Categorization into four groups: diaphragms, intrauterine contraceptive devices (IUCDs), oral contraceptives (OCs), and no contraception (80 women each).
    • Bacteriuria identification and Gram-negative organism prevalence analysis.

    Main Results:

    Keywords:
    Bacterial And Fungal DiseasesBarrier MethodsBiologyContraceptionContraceptive Methods--side effectsCorrelation StudiesDiseasesFamily PlanningGenital Effects, FemaleGenitaliaGenitalia, FemaleInfectionsPhysiologyResearch MethodologyStatistical StudiesStudiesUrogenital EffectsUrogenital SystemVaginal Barrier Methods--side effectsVaginal Diaphragm--side effects

    Related Experiment Videos

    • Diaphragm users had significantly higher Gram-negative bacteriuria prevalence (12 cases) compared to IUCD (3 cases), OCs (5 cases), and no contraception (4 cases).
    • Escherichia coli was the most common pathogen across all groups.
    • Parity, sexual activity, and partner numbers did not significantly affect bacteriuria rates.

    Conclusions:

    • Diaphragm use may increase the risk of Gram-negative bacteriuria in sexually active women.
    • Further research is warranted to understand the mechanism linking diaphragms to UTIs.