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Study on asymptomatic Neisseria gonorrhoeae cases among infertile subjects in Tikrit city and its surroundings | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 1, Issue 141, 2012, Pages 169-202 | ||
| Authors | ||
| Maad M. Shalal; Samah H. Khalil; Sinan B. Issa | ||
| Abstract | ||
| Neisseria gonorrhoeae is a gram-negative diplococcus that cause a disease called “Gonorrhea”. It is a public health problem and is the most common reportable infectious disease. A cross- sectional community based study was held in Tikrit city and its surrounding from Oct. 2007 to the end of Feb. 2008. Seminal fluid specimens and cervical swabs of 38 infertile subjects (20 males and 18 females) who are clinically asymptomatic for gonorrhea were examined via gram stained smear and culture techniques. Also, seminal fluid analyses for all males and ultrasonographies for most females were done. Data were taken from each subject via a specialized questionnaire prepared for this purpose. Three drugs regimens were used for the treatment of positive cases then another seminal fluid specimens or cervical swabs were taken after a week to assess the efficacy of these regimens. The N. gonorrhoeae diplococci were noticed in 23 (60.5%) of direct gram stained smears taken from the infertile subjects, while cultures revealed positive results for 26 (68.4%) cases. The majority of the infertile subjects where at the age group 21-30 years (23 subjects or 60.5 %). The number of positive cases among the primary infertility group was (22) cases or (81.5%), while it is only 4 positive cases (36.4%) among secondary infertility group. History of urethral discharge was reported in 19 (73%) of the total 26 positive N. gonorrhoeae subjects. The first regimen of treatment was efficient in eradicating N. gonorrhoeae from 20 of the 26 positive cases (76.9%); six cases (23.1%) were resistant cases that were treated successfully by the second or third regimen. This high rate of N. gonorrhoeae among infertile subjects in Tikrit city and surrounding emphasize physicians to exclude this important factor on the start of management of infertility, also, the use of traditional regimens of treatment should be re-evaluated during therapy in order to overcome resistance | ||
| Keywords | ||
| Study on asymptomatic Neisseria gonorrhoeae cases among infertile subjects in Tikrit city and its surroundings | ||
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