细菌精子症及其对不育男性基本精液参数的影响。

Bacteriospermia and Its Impact on Basic Semen Parameters among Infertile Men.

作者信息

Vilvanathan Sangeetha, Kandasamy Balan, Jayachandran Abiramy Lakshmy, Sathiyanarayanan Sarasa, Tanjore Singaravelu Vijayalakshmi, Krishnamurthy Veeraraghavan, Elangovan Vanithadevi

机构信息

Department of Microbiology, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Chinna Kolambakkam Post, Madurantakam Taluk, Kanchipuram, Tamil Nadu 603 308, India.

Department of Medical Gastroenterology, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu 600 003, India.

出版信息

Interdiscip Perspect Infect Dis. 2016;2016:2614692. doi: 10.1155/2016/2614692. Epub 2016 Jan 6.

Abstract

Introduction. Semen analysis is considered as the surrogate marker for male fecundity while assessing infertile men. There are several reasons for altered semen quality and bacteriospermia could be one among them. Thereby the aim of our work is to study the semen culture and its impact on semen parameters among infertile men. Materials and Methods. Semen samples were collected from men attending infertility clinic. Semen parameters were analysed based on WHO guidelines. Also, samples were subjected to culture using standard bacteriological techniques. Results. A total of 85 samples were collected. A number of 47 (55.30%) had normal sperm count, 37 (43.50%) had oligozoospermia, and one (1.17%) had azoospermia. Teratozoospermia was the most common abnormality observed (81.17%) followed by asthenozoospermia (28.23%). The prevalence of bacteriospermia was 35.3%. Enterococcus faecalis (30%) was the most common organism isolated followed by Coagulase negative Staphylococcus (23.33%), Staphylococcus aureus (20%), and E. coli (10%). Other less frequently isolated organisms were Klebsiella pneumoniae (6.66%), Proteus sp. (6.66%), and Citrobacter sp. (3.33%). Conclusion. The presence of asymptomatic bacteriospermia did not correlate with abnormal semen parameters.

摘要

引言。在评估不育男性时,精液分析被视为男性生育能力的替代指标。精液质量改变有多种原因,细菌感染性精液症可能是其中之一。因此,我们研究的目的是探讨不育男性的精液培养及其对精液参数的影响。

材料与方法。从就诊于不孕不育门诊的男性中采集精液样本。根据世界卫生组织指南分析精液参数。此外,使用标准细菌学技术对样本进行培养。

结果。共采集了85份样本。其中47份(55.30%)精子计数正常,37份(43.50%)为少精子症,1份(1.17%)为无精子症。畸形精子症是最常见的异常情况(81.17%),其次是弱精子症(28.23%)。细菌感染性精液症的患病率为35.3%。分离出的最常见微生物是粪肠球菌(30%),其次是凝固酶阴性葡萄球菌(23.33%)、金黄色葡萄球菌(20%)和大肠杆菌(10%)。其他较少分离出的微生物有肺炎克雷伯菌(6.66%)、变形杆菌属(6.66%)和柠檬酸杆菌属(3.33%)。

结论。无症状细菌感染性精液症的存在与异常精液参数无关。

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