A Chatwani1, S Amin-Hanjani. 1. Department of Obstetrics Gynecology, and Reproductive Sciences Temple University School of Medicine Philadelphia, PA 19140, USA.
Abstract
OBJECTIVE: To assess various methods of management of actinomyces-like organisms associated with intrauterine devices. METHODS: A retrospective chart review of 173 patients with intrauterine device-associated actinomyces- like organisms detected on Pap smear was performed. The patients were managed by IUD removal with or without antibiotic therapy, antibiotic therapy alone, or no treatment at all. RESULTS: The success rate as reflected in negative follow-up smear was 100% for IUD removal combined with antibiotics, 97.4% for IUD removal alone, and 36.8% for antibiotics therapy alone. CONCLUSIONS: The best way to manage intrauterine device-associated actinomyces-like organisms is removal of the device with or without antibiotics.
OBJECTIVE: To assess various methods of management of actinomyces-like organisms associated with intrauterine devices. METHODS: A retrospective chart review of 173 patients with intrauterine device-associated actinomyces- like organisms detected on Pap smear was performed. The patients were managed by IUD removal with or without antibiotic therapy, antibiotic therapy alone, or no treatment at all. RESULTS: The success rate as reflected in negative follow-up smear was 100% for IUD removal combined with antibiotics, 97.4% for IUD removal alone, and 36.8% for antibiotics therapy alone. CONCLUSIONS: The best way to manage intrauterine device-associated actinomyces-like organisms is removal of the device with or without antibiotics.