We examined 6 C. pneumonia isolates from The American Type Culture Collection (ATCC) and 2 Finnish isolates for Mycoplasma contamination. Three of the ATCC isolates and both of the Finnish isolates were Mycoplasma-contaminated. The contaminants were characterized by means of growth in BEa and BEg media, immunoblotting, polymerase chain reaction and pulsed field gel electrophoresis. Two of the 6 ATCC isolates [ATCC VR1355 (TWAR strain 2043) and ATCC VR1356 (TWAR strain 2023)] were infected with Mycoplasma hominis and 1 isolate [ATCC VR2282 (TWAR strain TW183)] was contaminated with both Mycoplasma hominis and Mycoplasma orale, whereas 3 of the ATCC isolates [ATCC VR1310, ATCC VR1360 (TWAR strain CM-1) and ATCC 53592 (TWAR strain AR39)] were not contaminated. The Finnish C. pneumoniae isolates Kajaani 6 and Parola were found to be contaminated with M. hominis and M. orale, respectively. The contamination of C. pneumoniae stock cultures, frequently used in the microimmunofluorescence test, with human pathogens, could pose a serious problem in C. pneumoniae serology.
On the basis of a questionnaire investigation among the general practitioners in the County of Frederiksborg, the authors have compared the information given to women applying for sterilization with information in the available literature about the nature of the intervention, its sequelae and the risks involved. The authors found that under half of the practitioners gave informations about disturbances of menstruation, dyspareunia and altered sexual life. In the literature, it is stated that these occur in 10-60%, 3-11% and 4-48% of the women. Less than one third of the practitioners gave information about the risk of perforation of an organ or vessels, tearing of the ovarian tubes and postoperative pain. In the literature, it is stated that these occur in 0.1-2.5%, 0.28-9% and 24% of the women depending on the operative method used. The authors recommend revision of our knowledge on these subjects and alterations in the written information provided.
A total of 202 Danish general practitioners participated in a questionnaire investigation concerning the information which women applying for termination of pregnancy receive. The replies showed great differences in the number of doctors who give patients information about referral to social services, the risk of retained fetal tissue, pain, psychological effects and hemorrhage. Significantly more of the female doctors than male doctors told their patients about the possibility of referral to social services. The authors propose that women applying for abortion should be informed both verbally and in writing and that the information cover the following points: 1) possibility of referral to community social services for assistance in carrying through the pregnancy; 2) course and duration of the procedure; 3) a description of the operation itself including anesthesia and the method of abortion; 4) after effects, bleeding and pain; 5) complications, psychological effects, lower abdominal symptoms and retained fetal tissues; and 6) follow up by her own physician and future contraception.
There are few operations which require direct written approval from the patient; among these is the termination of pregnancy. The woman must attest that she has been informed concerning the procedure itself. It is therefore interesting to investigate the knowledge that a sample of 105 women seeking abortion have on the nature of the operation, complications, after effects and possibilities for social assistance in carrying through the pregnancy compared to the information required under the law for termination of pregnancy. Knowledge of the method of abortion and of the risk for retained tissue increased significantly with age. There was no significant difference among age groups concerning knowledge of anesthesia, bleeding, infection or social aid arrangements. 7% of the women thought that there was risk of sterility. 84% of the women did not know that there was a risk for retained tissue. About half were not clear that the procedure involved suction and that there was risk of bleeding and infection following the procedure. 40% did not know that there was any possibility for referral to social agencies for further assistance.