{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T20:49:09Z","timestamp":1760906949257},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,1,11]],"date-time":"2011-01-11T00:00:00Z","timestamp":1294704000000},"content-version":"vor","delay-in-days":9141,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[1986,1]]},"abstract":"<jats:p>In 53 women admitted for first\u2010trimester abortion, the cervical canal was dilated with laminaria tents prior to vacuum aspiration. Before insertion of the tents, endocervical specimens were taken for microbiological investigations, including <jats:italic>Chlamydia trachomatis<\/jats:italic>, and both aerobic and anaerobic microorganisms. The laminaria tents, widened by their hygroscopic properties, were removed just before the vacuum aspiration and sent for cultivation of aerobic and anaerobic microorganisms. The Grampositive aerobic cocci, <jats:italic>Staph. epidermidis, Strept. faecalis<\/jats:italic> and <jats:italic>Strept. agalactiae<\/jats:italic> as well as <jats:italic>Escherichia coli<\/jats:italic> and <jats:italic>Klebsiella\/Enterobacter<\/jats:italic> were the most frequent microorganism among the aerobic isolates from the endocervices as well as from the laminaria tents. These microorganisms were identified on the tents in greater numbers than in the cervices. <jats:italic>Staph. aureus<\/jats:italic> was isolated from three laminaria tents, but only one of these 3 women was proved to be primarily colonized endocervically. Among the anaerobes, <jats:italic>Bacteroidaceae<\/jats:italic> followed by peptococci and peptostreptococci were the predominant genera found in the cervix as well as on the removed laminaria tents. These three groups of anaerobic microorganisms were found markedly less frequently on the laminaria tents than in the endocervix. On the other hand, <jats:italic>Strept. intermedius<\/jats:italic>, another anaerobe of possible enteric origin, was recovered from 9 laminaria tents but not in the cervices. Since no cases of clinically verified endometritis\/salpingitis were registered in the present study it is concluded that the risk of a pelvic inflammatory disease (PID) due to the laminaria tent is negligible as long as the laminaria treatment does not exceed 24 hours.<\/jats:p>","DOI":"10.3109\/00016348609155180","type":"journal-article","created":{"date-parts":[[2009,12,8]],"date-time":"2009-12-08T17:56:43Z","timestamp":1260295003000},"page":"257-261","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Does the Hygroscopic Property of the Laminaria Tent Imply a Risk for Ascending Infection in Legal Abortions?: A microbiological study"],"prefix":"10.1111","volume":"65","author":[{"given":"G. R.","family":"Evaldson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Fianu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Jonasson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Larsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. 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Relic of the past or modern medical device?","volume":"113","author":"Newman B W.","year":"1972","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(82)92552-1"},{"key":"e_1_2_1_14_1","first-page":"331","article-title":"Cultivation of Chlamydia trachomatis in cycloheximide treated McCoy cells","volume":"328","author":"Ripa T R.","year":"1977","journal-title":"J Clin Microbiol"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(83)92464-9"},{"key":"e_1_2_1_16_1","unstructured":"Session on toxic shock syndrome. 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