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Abstract

Despite of bacterial infections have been known as a potential condition of male infertility but clear definition and role of these conditions is not very clear. Presence of bacteria in the genital tract has been frequently discovered to be associated with reduced sperm function and as a result causes infertility. The goal of this study was to identify bacterial pathogens in infertile men's sperm culture and their antibiotic susceptibility patterns in vitro, which would aid in the formulation and monitoring of antibiotic policies and appropriate empiric therapy. A total of 50 semen specimen were collected from infertile men and 50 samples from healthy individual as control group were attending Kamal Al-Sammrai Hospital / Baghdad during the period 25 May 2020 to 15 October 2020.Seminal bacterial diagnosis were first done by the manual culture methods and confirmation by Vitek 2 system. The current study shown that, 76% isolates were gram positive bacteria and 24% was no growth of bacteria. Staphylococcus warneri (20%) followed by Staphylococcus aureus (18%), Staphylococcus haemolyticus (14%), Staphylococcus saprophyticus (12%), Staphylococcus lentus (6%), Enterococcus faecalis (4%) and Streptococcus agalactiae (1%). This study indicated that some of gram positive bacteria may be causes poor health of seminal fluid. Record some of Staphylococcus species were sensitive to Nitrofurantoin and Rifampicin while Moxifloxacin, Teichoplanin and Fusidic acid resistant from most Staphylococcus species. Enterococcus faecalis and Streptococcus agalactia were senetive to Rifampicin while have high resistance aganist Moxifloxacin, Nitrofurantoin and Fusidicacid.Because sperm bacterial infection is common and can cause sperm quality to deteriorate in infertile men, seminal fluid testing for bacterial detection should be done on a regular basis.

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