Everett E D, Reller L B, Droegemueller W, Greer B E
Obstet Gynecol. 1976 Feb;47(2):207-9.
A prospective study of the risk of bacteremia in 84 women having insertion and in 16 women having removal of intrauterine devices was performed. Bacteremia was not found in any of these 100 women at 1 to 3, 15, or 30 minutes after the procedure or in any of 57 women studied again 1.5 hours later. Because of the remote risk of bacteremia, the presence of congenital or valvular heart disease need not be an absolute contraindication to the use of an intrauterine device for contraception in an otherwise healthy young woman. Prophylactic antimicrobial therapy during insertion or removal of an intrauterine device appears to be unnecessary in the absence of evident pelvic infections. The risk of bacteremia during removal of an intrauterine device from an infected uterus cannot be determined from this study.
对84名放置宫内节育器的女性和16名取出宫内节育器的女性发生菌血症的风险进行了一项前瞻性研究。在这100名女性中，术后1至3分钟、15分钟或30分钟均未发现菌血症，1.5小时后再次研究的57名女性中也未发现菌血症。由于存在菌血症的远期风险，对于一名原本健康的年轻女性，先天性或瓣膜性心脏病的存在不一定是使用宫内节育器避孕的绝对禁忌证。在没有明显盆腔感染的情况下，放置或取出宫内节育器期间似乎无需预防性抗菌治疗。本研究无法确定从感染子宫取出宫内节育器时发生菌血症的风险。
