Management of intrauterine device-associated actinomycosis.
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.
Chatwani
A
A
Department of Obstetrics Gynecology, and Reproductive Sciences Temple University School of Medicine Philadelphia, PA 19140, USA.
Amin-Hanjani
S
S