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  • Title: Bacterial flora of the endometrial cavity with intrauterine contraceptive devices.
    Author: Elkholi GD, Abbas AM.
    Journal: Egypt Popul Fam Plann Rev; 1976 Jun; 9(1):1-6. PubMed ID: 12277559.
    Abstract:
    A series of sterilization patients were studied to determine the effect of an IUD (Lippes Loop) on the bacterial flora of the endometrial cavity in Egyptian females. Nearly all were aged 35-42 with parity of 5-14 labors, and low to moderate socioeconomic status. 22 patients were wearing a loop inserted 6-18 months previously by a family planning center. 7 patients were wearing no loop but agreed to wear a loop inserted after 4 weeks of treatment with chloramphenicol; the loops were worn for 6 months. A 3rd group received chloramphenicol treatment but no loop. The 4th group was a control. Technique used to take samples during vaginal surgical sterilization is described. Cultures were incubated and studied. The patients wearing the IUD inserted by the family planning agency showed positive cultures both for the cervix and the uterine cavity. Isolates included Staphylococcus albus and streptococcus pyogenes (3 cases), streptococcus pyogenes and coliform (2 cases), streptococcus pyogenes (1 case), and staphyloccoccus albus (1 case). No growth was obtained from the women treated with chloramphenicol. In the control group all cervical cultures were positive while only 2 endometrial cultures were positive; detected were streptococcus pyogenes and staphylococcus albus. All were sensitive to standard antibiotics. Routine introduction of the loop through the cervix without antibiotic treatment seemed to transfer cervical flora to the endometrial cavity as the organisms isolated from both organs were identical in the same patient.
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