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자료유형
학술저널
저자정보
저널정보
대한산부인과학회 Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제57권 제5호
발행연도
2014.1
수록면
393 - 396 (4page)

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ObjectiveTo investigate the incidence of actinomyces-like organisms in routine cervical smears of Korean women and toevaluate its association with the development of pelvic inflammatory disease (PID) in these women. MethodsThe results of cervical smears between 2011 and 2012 at a single university hospital were searched. If positive foractinomyces-like organisms, the medical record of the patient was searched and development of PID was followed. Ifthe data were not available in the medical record, the patient was contacted by telephone. ResultsThe incidence of actinomyces-like organisms in cervical smears was 0.26% (52/20,390). Forty-two women (80.8%) wereintrauterine device (IUD) users: the copper-IUD in 25 women and the levonorgestrel-releasing intrauterine system in13 women (type unknown in 4 women). The majority (71.4%, 30/42) of the IUD users maintained the IUD. Prophylacticantibiotics were prescribed to 12 women. Two continuous IUD users were later diagnosed with PID, but these caseswere not pelvic actinomycosis. ConclusionIt would be a reasonable option to choose the expectant management for asymptomatic women who incidentallyshowed actinomyces-like organisms in their cervical smear.

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