Liječnički vjesnik, Vol. 132 No. 3-4, 2010.
Other
CAN INTRODUCTION OF GUIDELINES FOR USE OF AN INTRAUTERINE DEVICE REDUCE CHANGES IN MICROBIAL FLORA OF FEMALE GENITAL SYSTEM IN IUD-USERS?
VANJA KALITERNA
NASTJA KUČIŠEC-TEPEŠ
LIDIJA PEJKOVIĆ
SLAVKO OREŠKOVIĆ
Abstract
The intrauterine device (IUD), one of the most effective and most common methods of reversible contraception, is used by millions of women worldwide. Although various studies indicate the benefits of its use as a contraceptive method, the greatest concern regarding IUDs is the potential risk for infection. The presence of the IUD gives a solid surface for bacterial attachment and biofilm formation. Infections due to biofilm formation are chronic and difficult to resolve. However, women should be screened and treated for asymptomatic vaginal or cervical infections before IUD insertion. Based on the data in the literature and the data in study conducted in Croatia, it can be concluded that IUD users are at increased risk for development of infection. Treatment strategies in Croatia should take into consideration that Escherichia coli and Ureaplasma urealyticum are dominant causative agents. We conclude that guidelines for the use of IUD in Croatia are a necessity.
Keywords
Intrauterine devices – adverse effects, microbiology; Bacterial infections – etiology, prevention and control; Genital diseases, female – etiology, prevention and control; Practice guidelines as topic
Hrčak ID:
63568
URI
Publication date:
30.4.2010.
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