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Journal of Clinical Microbiology, October 2000, p. 3763-3767, Vol. 38, No. 10
Department of Medical
Microbiology1 and Center for
Reproductive Medicine, Department of Obstetrics and
Gynecology,2 Academic Medical Center, University
of Amsterdam, Amsterdam, The Netherlands
Received 17 May 2000/Returned for modification 1 July 2000/Accepted 15 July 2000
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% 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 donated C. trachomatis-positive semen for at least 4 successive
months, and the other did so for at least 16 months. The occurrence of C. 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. trachomatis
in urine and semen specimens have been reported.
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
PCR Assessment of Chlamydia trachomatis
Infection of Semen Specimens Processed for Artificial
Insemination
*
Corresponding author. Mailing address: Department of
Medical Microbiology L1-162, P.O. Box 22660, 1100 DD Amsterdam, The
Netherlands. Phone: (31-20)-5664862. Fax: (31-20)-6979271. E-mail:
y.pannekoek{at}amc.uva.nl.
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