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RELATIONSHIP BETWEEN ABNORMAL SEMEN CHARACTERISTICS AND BACTERIOSPERMIA

Dr Haneen Zahid, Dr Faiza Batool, Aiman Ikram

Aim: To determine the prevalence of bacterial infection in infertile male sperm and the relationship between positive bacterial culture and male infertility. Study Design: A descriptive cross-sectional study. Place and Duration: In the Fertility Clinic of Hameed Latif Hospital, Lahore for one year duration from January 2018 to December 2018. Method: The study was conducted at a reference infertility clinic of Hameed Latif Hospital Lahore. Sperm samples were analyzed according to the principles of world health organization, and bacteriological analyzes of sperm samples were carried out using standard techniques. Results: The average age was 37.3 ± 1.0 years. Significant bacterial spermatozoa were detected in 63 (52.5%) infertile male subjects. The most common bacterial isolates are Staphylococcus aureus 28 (44.4%) followed by coagulase negative Staphylococcus 13 (21%), Enterococcus faecalis 12 (19%), Escherichia coli 7 (11.1%), the lowest Proteus mirabilis 3 (4.8%). There was a significant relationship between leukocytospermia and a positive bacterial culture (p <0.001). Staphylococcus aureus infection was higher in infertile men with oligozoospermia (p = 0.01). Enterococcus faecalis was generally isolated from infertile teratozoospermic men (p <0.001). Escherichia coli was isolated more than men with asthenozoospermia, but this did not differ significantly from other forms of seminal infertility. Conclusion: The incidence of bacteriospermia was high in infertile men; Staphylococcus aureus and Enterococcus faecalis infection appear to correlate with poor sperm count and abnormal sperm morphology. Keywords: Bacteriospermia, Leukocytopermia, Infertility, Oligozoospermia, Semen

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