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  • Title: The IUCD-associated incidence of Actinomyces israelii in the female genital tract.
    Author: Cleghorn AG, Wilkinson RG.
    Journal: Aust N Z J Obstet Gynaecol; 1989 Nov; 29(4):445-9. PubMed ID: 2631681.
    Abstract:
    Cervical swabs and in many cases also intrauterine contraceptive devices were examined from 973 women for the presence of Actinomyces israelii. It was detected in 11.6% of these women, the majority of whom were asymptomatic. The detection, however, of A. israelii in the female genital tract was associated with an almost 4-fold increase in the incidence of pelvic inflammatory disease (PID), indicating that colonization may progress to an infection in a small number of women. The incidence of A. israelii in the female genital tract of IUCD wearers was more than doubled when the IUCD was worn for longer than 4 years. The type of IUCD worn did not appear to be an important risk factor. Immunofluorescent staining of cervical smears identified 64% of cases. Specific culturing for A. israelii or cytological screening of Papanicolaou smears in addition were required to increase the isolation rate to nearly 90%. Cervical swabs and IUDs were examined from 973 women for the presence of Actinomyces israelii. It was detected in 11.6% of these women, the majority of whom were asymptomatic. The presence of this organism in the female genital tract was associated with an almost 4-fold increase in the incidence of pelvic inflammatory disease, indicating that colonization may progress to an infection in a small number of women. The incidence of A. israelii in the genital tract of IUD users was more than doubled when the IUD was worn for longer than 4 years. The type of IUD did not appear to be an important risk factor. Immunofluorescent staining of cervical smears identified 64% of the cases. Specific culturing for A. israelii or cytological screening of Papanicolaou smears were additionally required to increase the isolation rate to nearly 90%.
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