Semen from asymptomatic men who are being evaluated as male partners in interfile couples have been reported to contain a variety of bacteria. Longitudinal studies of the variation of these bacteria over time and their resistance patterns have not been commonly reported. At our institution, residues from semen samples are routinely evaluated for bacteria, including antibiotic sensitivity profiles. We set out to profile the changes in semen bacteria and antibiotic resistance at our institution over time. A total of 72 semen isolates were examined for type of bacteria and sensitivity to a panel of antibiotics. The results were divided into two separate 5-year intervals (the first beginning in 2006, the second in 2011) and compared. The majority of bacteria were skin flora, with Streptococcus and Staphylococcus being the most prevalent. The resistance data for these two pathogens showed minimal statistically significant difference between the two time periods, although the Staphylococcus species did show a trend toward increasing resistance, suggesting that antibiotics currently used in sperm cell preparations may need to be varied.KEYWORDS Bacterial resistance; infertility; male; semen; semen analysis S emen from asymptomatic men being evaluated for infertility has been reported to contain a variety of bacteria. Frequently, these results are from contamination, the most likely sources of which are the male urethra or skin secondary to improper collection or colonization.1,2 Further, incidentally identified semen bacteria in the absence of symptoms are typically considered to have limited, if any, clinical significance.1,3 These species vary by population, but the most common bacteria are typically gram-positive organisms, such as Staphylococcus or Streptococcus species. 4 Reports of semen samples positive for bacteria are extremely variable, with rates of 45% to 100%.
5Longitudinal studies of the variation of these bacteria over time as well as their resistance patterns have not been commonly reported. At our institution, to ensure appropriate processing of semen, residues from semen samples are routinely evaluated for bacteria with antibiotic sensitivity profiles. We set out to profile the changes in semen bacteria and antibiotic resistance at our institution over time.
METHODSAfter institutional review board approval was obtained, a retrospective review was undertaken over a 10-year period from 2006 to 2016. Approximately every 2 months, the residues of semen samples collected were sent for microbiology evaluation. The samples were typically leftover portions from freshly collected specimens of men undergoing fertility evaluations. Men were advised to abstain from intercourse 3 to 5 days prior to collection, wash their hands and genitals thoroughly before sample production, and produce the sample into a sterile specimen cup. Isolates were then examined for sensitivity to a panel of antibiotics. The results were divided into two separate 5-year intervals (the first beginning in 2006, the second in 2011) a...