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Journal of Clinical Microbiology, October 2000, p. 3763-3767, Vol. 38, No. 10
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

Yvonne Pannekoek,1,* Steven M. Westenberg,2 Jan de Vries,2 Sjoerd Repping,2 Lodewijk Spanjaard,1 Paul P. Eijk,1 Arie van der Ende,1 and Jacob Dankert1

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.


* 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.


Journal of Clinical Microbiology, October 2000, p. 3763-3767, Vol. 38, No. 10
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.



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