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Significant bacteremia associated with replacement of intrauterine contraceptive device
Authors:S Murray  J B Hickey  E Houang
Affiliation:1. Department of Obstetrics and Gynecology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA;2. Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA;3. Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT, USA;4. Department of Obstetrics and Gynecology, University of Colorado, Aurora, CO, USA;5. Department of Obstetrics and Gynecology and Department of Epidemiology, Columbia University, New York, NY, USA;6. Department of Obstetrics and Gynecology, University of California, Davis, Sacramento, CA, USA
Abstract:
Blood culture samples were taken from 23 women at different stages when an intrauterine contraceptive device was replaced. Transient bacteremia resulting from vaginal organisms was found in 13% of women 4 to 6 minutes after insertion of the new device. Previous reports have failed to demonstrate bacteremia associated with either first insertion or removal of intrauterine contraceptive device. Our results show that replacement of an intrauterine contraceptive device, a more traumatic procedure, causes significant bacteremia, and chemoprophylaxis should be given to patients in the groups at risk.
Keywords:
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