PCR Assessment of Chlamydia trachomatisInfection of Semen Specimens Processed for Artificial Insemination

Y Pannekoek, SM Westenberg, J de Vries… - Journal of Clinical …, 2000 - Am Soc Microbiol
Y Pannekoek, SM Westenberg, J de Vries, S Repping, L Spanjaard, PP Eijk, A van der Ende
Journal of Clinical Microbiology, 2000Am Soc Microbiol
In order to ascertain the microbiological quality of stored semen specimens processed for
artificial insemination by a donor (AID), we developed a PCR assay targeting the chlamydial
plasmid to detect Chlamydia trachomatis in semen. The lower limit of detection of this assay
corresponded to 2.5 to 5 elementary bodies per μl of semen. A total of 669 cryopreserved
ejaculates from 97 asymptomatic donors were tested for C. trachomatis infection. Twelve
ejaculates, originating from four donors, were found to be positive, indicating a 4 …
Abstract
In order to ascertain the microbiological quality of stored semen specimens processed for artificial insemination by a donor (AID), we developed a PCR assay targeting the chlamydial plasmid to detectChlamydia trachomatis in semen. The lower limit of detection of this assay corresponded to 2.5 to 5 elementary bodies per μl of semen. A total of 669 cryopreserved ejaculates from 97 asymptomatic donors were tested for C. trachomatisinfection. Twelve ejaculates, originating from four donors, were found to be positive, indicating a 4% prevalence of C. trachomatis infection among the donor population studied. Cross-contamination between the cryopreserved specimens in the storage container was studied by typing using sequence analysis of PCR-amplified omp1 genes of the strains. Two donors were infected with serovar E, one was infected with serovar F, and one was infected with serovar K. For two donors, the duration of C. trachomatis positivity could be assessed. One donor donatedC. trachomatis-positive semen for at least 4 successive months, and the other did so for at least 16 months. The occurrence ofC. trachomatis infection in cryopreserved donor semen indicates that ejaculates from donors not tested for a C. trachomatis infection just prior to donation should be tested for infection by a direct test such as the PCR described here. Direct testing of semen specimens will detect not only donors with an active infection but also C. trachomatis-infected ejaculates already stored and will thus improve the microbiological quality of AID, since discrepancies in the presence of C. trachomatisin urine and semen specimens have been reported.
American Society for Microbiology
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