Is There a Benefit to Culturing Intra-Uterine Devices in Pelvic Inflammatory Disease?

Abstract:

AIMS:The study aimed to compare the clinical course and disease severity between culture positive and culture negative patients with intra-uterine devices (IUD)-associated pelvic inflammatory disease (PID). METHODS:A retrospective study of all IUD-associated PID patients admitted to tertiary medical center between 2010 and 2015. All patients received standard empiric antibiotic therapy upon admission. The study cohort was divided into 2: patients with culture positive IUDs and patients with negative cultures. Electronic medical records and culture results were analyzed from the time of admission. RESULTS:During the study period, 480 hospitalized patients were diagnosed with PID. Of these, 94 patients had IUD-associated PID, 59 with positive cultures and 35 with negative cultures. While fever was more common in the latter (p = 0.01), no significant differences were found in disease severity in patient outcomes (i.e., length of stay, rates of invasive treatment, and total abdominal hysterectomies). In a sub-analysis of patients with IUD cultures of established PID pathogens only, there were no differences in disease severity and outcome in patients with antibiotic susceptible or resistant strains. CONCLUSIONS:IUD removal for culture in PID patients is probably unnecessary. Alteration of treatment according to the culture results may have little impact on disease course and outcome.

journal_name

Gynecol Obstet Invest

authors

Fouks Y,Many A,Amit S,Levin I,Meiri A,Shinar S

doi

10.1159/000490666

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

20-26

issue

1

eissn

0378-7346

issn

1423-002X

pii

000490666

journal_volume

84

pub_type

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