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[不育夫妇泌尿生殖标本中沙眼衣原体、人型支原体和解脲脲原体的系统筛查试验]

[Systematic screening tests for Chlamydia trachomatis, Mycoplasma hominis and Ureaplasma urealyticum in urogenital specimens of infertile couples].

作者信息

Rosemond A, Lanotte P, Watt S, Sauget A S, Guerif F, Royère D, Goudeau A, Mereghetti L

机构信息

Service de Bactériologie-Virologie, Hôpital Bretonneau, CHRU de Tours, 37044 Tours cedex, France.

出版信息

Pathol Biol (Paris). 2006 Apr;54(3):125-9. doi: 10.1016/j.patbio.2005.09.004. Epub 2005 Nov 17.

Abstract

We conducted a prospective study on 100 couples consulting for infertility at the teaching Hospital of Tours, with the scope to determine if there is a benefit for systematic screening of Chlamydia trachomatis, Mycoplasma hominis and Ureaplasma urealyticum among genito-urinary specimen when exploring couples infertility. C. trachomatis was detected by PCR on sperm, endocervix and urine specimen. M. hominis and U. urealyticum were detected by culture on A7 agar medium and with minigaleries on sperm and endocervix specimen. Standard cultures were also performed on sperm, endocervix, vaginal and urine specimen. Only one specimen (sperm) was positive for C. trachomatis. Three percent of the specimen were positive for U. urealyticum (from which 2,5% of the sperm specimen). No specimen was positive for M. hominis. Our results show that screening of C. trachomatis, M. hominis and U. urealyticum is not systematically required for among check up of infertile couples, given the prevalence of chlamydiosis among the population studied. However, it would be interesting to perform it on a targeted population, according to anamnestic or clinical criteria. In addition, an important modification of vaginal flora was observed in 12% of cases, and 2 vaginosis were diagnosed; the putative consequences of this disequilibrium has to be further investigated.

摘要

我们对在图尔教学医院咨询不孕问题的100对夫妇进行了一项前瞻性研究,目的是确定在探究夫妇不孕问题时,对泌尿生殖系统标本进行沙眼衣原体、人型支原体和解脲脲原体的系统筛查是否有益。通过对精子、宫颈和尿液标本进行聚合酶链反应(PCR)检测沙眼衣原体。通过在A7琼脂培养基上培养以及对精子和宫颈标本使用微量培养管检测人型支原体和解脲脲原体。还对精子、宫颈、阴道和尿液标本进行了标准培养。仅一份标本(精子)沙眼衣原体呈阳性。3%的标本解脲脲原体呈阳性(其中2.5%为精子标本)。无人型支原体标本呈阳性。我们的结果表明,鉴于所研究人群中衣原体病的患病率,在不孕夫妇检查中并非必须系统筛查沙眼衣原体、人型支原体和解脲脲原体。然而,根据既往史或临床标准,对目标人群进行筛查可能会很有意义。此外,在12%的病例中观察到阴道菌群有重要改变,诊断出2例阴道病;这种失衡的假定后果有待进一步研究。

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