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
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