Kaliterna Vanja, Kucisec-Tepes Nastja, Pejković Lidija, Oresković Slavko
Nastavni zavod za javno zdravstvo Splitsko-dalmatinske zupanije, Sluzba za medicinsku mikrobiologiju i parazitologiju, Split, Hrvatska.
Lijec Vjesn. 2010 Mar-Apr;132(3-4):99-101.
The intrauterine device (IUD), one of the most effective and most common methods of reversible contraception, is used by millions of women worldwide. Although various studies indicate the benefits of its use as a contraceptive method, the greatest concern regarding IUDs is the potential risk for infection. The presence of the IUD gives a solid surface for bacterial attachment and biofilm formation. Infections due to biofilm formation are chronic and difficult to resolve. However, women should be screened and treated for asymptomatic vaginal or cervical infections before IUD insertion. Based on the data in the literature and the data in study conducted in Croatia, it can be concluded that IUD users are at increased risk for development of infection. Treatment strategies in Croatia should take into consideration that Escherichia coli and Ureaplasma urealyticum are dominant causative agents. We conclude that guidelines for the use of IUD in Croatia are a necessity.
宫内节育器（IUD）是最有效且最常用的可逆避孕方法之一，全球数百万女性都在使用。尽管各项研究表明其作为一种避孕方法有诸多益处，但对宫内节育器最大的担忧是潜在的感染风险。宫内节育器的存在为细菌附着和生物膜形成提供了坚实表面。生物膜形成导致的感染是慢性的且难以解决。然而，女性在放置宫内节育器前应接受无症状阴道或宫颈感染的筛查和治疗。根据文献数据以及在克罗地亚开展的研究数据，可以得出结论，使用宫内节育器的女性发生感染的风险增加。克罗地亚的治疗策略应考虑到大肠杆菌和解脲脲原体是主要病原体。我们得出结论，克罗地亚有必要制定宫内节育器使用指南。
