Microbiology profile in women with pelvic inflammatory disease in relation to IUD use.

Abstract

OBJECTIVE:

To study the microbial characteristics of patients with pelvic inflammatory disease (PID) and the possible impact of an intrauterine device (IUD) on the microbial environment in women presenting with PID.

METHODS:

Case-control study, investigating 51 women with acute PID and 50 healthy women. Endocervical specimens for microbiological investigation were obtained at gynaecological examination.

RESULTS:

IUD users with PID had significantly more Fusobacteria spp. and Peptostreptococcus spp. than non-IUD users with PID. The finding of combinations of several anaerobic or aerobic microbes was associated with a significantly increased risk of PID and with complicated PID. In IUD users, the combinations of several anaerobic/aerobic microbes were associated with an increased risk of PID, irrespective of duration of IUD use. Long-term IUD use appeared to be associated with an increased risk of a PID being complicated.

CONCLUSION:

The finding of several anaerobic or aerobic microbes appears to be associated with PID in users of IUD.

• Authors: I Viberga, V Odlind, G Lazdane, J Kroica, L Berglund, S Olofsson
• Journal: Infectious diseases in obstetrics and gynecology (Infect Dis Obstet Gynecol) Vol. 13 Issue 4 Pg. 183-90 (Dec 2005) ISSN: 1064-7449 [Print] Egypt
• PMID: 16338777 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adult
• Case-Control Studies
• Female
• Humans
• Intrauterine Devices (adverse effects)
• Pelvic Inflammatory Disease (epidemiology, etiology, microbiology)
• Surveys and Questionnaires
• Women's Health