Management of Intrauterine Device-Associated Actinomycosis
Author Information
Author(s): Ashwin Chatwani, Soheil Amin-Hanjani
Primary Institution: Temple University School of Medicine
Hypothesis
What are the best management methods for actinomyces-like organisms associated with intrauterine devices?
Conclusion
The best way to manage intrauterine device-associated actinomyces-like organisms is removal of the device with or without antibiotics.
Supporting Evidence
- The success rate for IUD removal combined with antibiotics was 100%.
- The success rate for IUD removal alone was 97.4%.
- The success rate for antibiotics therapy alone was only 36.8%.
- Patients with IUD-associated ALOs had a higher incidence of hospitalization for pelvic inflammatory disease.
Takeaway
If a woman has a certain type of infection related to her birth control device, the best way to help her is to take out the device, and sometimes give her medicine too.
Methodology
A retrospective chart review of 173 patients with intrauterine device-associated actinomyces-like organisms detected on Pap smear.
Potential Biases
Potential bias in patient selection and management decisions.
Limitations
The study is retrospective and may not account for all variables affecting treatment outcomes.
Participant Demographics
Women using intrauterine devices for contraception.
Statistical Information
P-Value
0
Statistical Significance
p<0.05
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