Murray S, Hickey J B, Houang E
Am J Obstet Gynecol. 1987 Mar;156(3):698-700. doi: 10.1016/0002-9378(87)90081-0.
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.
在23名更换宫内节育器的不同阶段的女性中采集了血培养样本。在插入新装置后4至6分钟，13%的女性出现了由阴道微生物引起的短暂菌血症。先前的报告未能证明与宫内节育器首次插入或取出相关的菌血症。我们的结果表明，更换宫内节育器这一创伤性更大的操作会导致明显的菌血症，应对高危组患者进行化学预防。
