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- Title
RİA kullanan kadınlarda RİA'nın Actinomyces türleri ve diğer bakterilerle kolonizasyonu.
- Authors
Tanrıöver, Özlem; Tuzcular Vural, E. Zeynep; Gönenç, Işık; Tezvaran, Zehra; Dönmezdemir, Gülboy
- Abstract
Objective: This prospective study was performed in the Family Planning Unit of Haydarpasa Numune Education and Research Hospital. The aim of the study was to assess the frequency of colonization with Actinomyces spp. and other bacteria in IUDs of women who requested removal of their IUDs. Methods: The study material consisted of 50 IUDs which were removed upon the request of patients. Removed IUDs were rapidly placed into triptic soy broth and anaerobic culture bottles with SPS. Gram stains were also obtained. A routine gynecological examination was performed and pathological findings were recorded. From each culture bottle, under sterile conditions, two passages were done in sheep blood agar and direct passage. Aerobe and anaerobic cultures were evaluated after incubation. Results: The shortest duration of IUD use was 3 months, and the longest 20 years, the mean duration was 5.42}4.42 years. The most common clinical findings were abnormal bleeding (36.0%) and lower abdominal pain (26%). In the Gram stain, occurrence of 15 polimorfonuclear leucocyte (PNL) in each field at a magnification of 100 was assessed in favor of infection. In 31 cases (62.0%) abundant PNL, in 5 cases (10.0%) PNL and clue cells, in 3 cases (6.0%), the PNL and the direct cultivation of yeast cells were noted. Identified bacterias in order of frequency according to the results obtained from the aerobic culture of the IUDs were coagulase-negative staphylococci (24.0%), lactobasillus (20.0%), E. coli (14.0% ), enterecoccus (12.0%), staphylococcus (8.0%), G. vaginalis (8.0%), C. albicans (6.0%), streptococcus (4.0%), pseudomonas (2.0%), mobilincus spp. (2.0%). Anaerob bacteriae included streptococcus (4.0%), peptococcus (4.0%), and Actinomyces spp. (2%). Conclusions: The frequency of colonization with Actinomyces spp.in IUDs was 2% and was consistent with the literature. Colonization of Actinomyces is associated with long-term IUD use. Therefore, we conclude that outdated IUDs should be removed and replaced with a new one.
- Subjects
INTRAUTERINE contraceptives; ACTINOMYCES; BACTERIAL colonies; GRAM'S stain; COAGULASE; ANAEROBIC bacteria growth
- Publication
Turkish Journal of Family Practice / Türkiye Aile Hekimligi Dergisi, 2011, Vol 15, Issue 2, p59
- ISSN
1303-6637
- Publication type
Article
- DOI
10.2399/tahd.11.59