Streptococcal bacteria and IUCD insertion (IUC)
- in asymptomatic women routine screening for bacterial infection is not recommended prior to IUC insertion
- however, cases of group A streptococcus (GAS) infection have been reported post-IUD insertion cases are rare but can include life-threatening septicaemia, invasive GAS (e.g. necrotising fasciitis) and streptococcal toxic shock syndrome
- it is important that women found to be infected with GAS in the vagina are treated and IUC insertion delayed
- no need to delay treatment or treat asymptomatic women who have been identified as having Group B streptococci
Reference:
- FSRH Guidance (April 2015) Intrauterine Contraception
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