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Prevalence of Neisseria Gonorrhoeae Urogenital Tract Infections Among Patients with Infertility in Nablus, Palestine: Comparative Cross-Sectional Study.

Title: Prevalence of Neisseria Gonorrhoeae Urogenital Tract Infections Among Patients with Infertility in Nablus, Palestine: Comparative Cross-Sectional Study.
Authors: Al-Masri, Motasem; Qadi, Mohammad; Nazzal, Zaher; Abatli, Safaa; Mikkawi, Aya; Abdulhalim, Mohammad; Ajoli, Dna; Zarour, Abd razak
Source: An-Najah University Journal for Research, A: Natural Sciences; May2026, Vol. 40 Issue 3, p237-242, 6p
Subject Terms: Neisseria gonorrhoeae; Infertility; Urinary tract infections; Condom use; Cross-sectional method; Palestinians; Diagnostic use of polymerase chain reaction
Geographic Terms: Palestine
Abstract (English): This study aimed to determine the prevalence of Neisseria gonorrhoeae urogenital tract infections among patients attending a gynecology clinic and infertility centers in Nablus city in Palestine. Vaginal swabs and semen specimens were collected from 238 patients attending gynecology and infertility centers in Nablus city in Palestine. N. gonorrhoeae presence was examined in all specimens by polymerase chain reaction (PCR) and in 163 (68.5%) specimens by selective GC agar culture. Among the examined specimens, PCR was positive in 2 specimens, while GC culture was negative in all 163 examined specimens, including the 2 PCRpositive cases. The prevalence of N. gonorrhoeae among the fertile group (1.1%) was close to that of the infertile group (0.7%). The history of urinary tract infections (UTIs) among the infertile group (61.1%) was significantly (P=0.000) higher than that (36%) of the fertile group. 97.8% of the infertile males had never used condoms, which was significantly (P=0.001) higher than that (53.3%) among fertile ones. The frequency of use of the seat toilet by infertile individuals (99.3%) was significantly (0.003) higher than that of fertile individuals. The study revealed that PCR was more sensitive than culture in detecting N. gonorrhoeae in clinical samples. There was no significant association between the infertility status and the presence of N. gonorrhoeae infection. Significant association was found between infertility and a number of variables such as history of UTIs, never using condoms, and frequency of using a seated toilet. [ABSTRACT FROM AUTHOR]
Abstract (Arabic): تركز المقالة على دراسة مقطعية مقارنة تحقق في انتشار عدوى النيسرية البنية (Neisseria gonorrhoeae) في الجهاز البولي التناسلي بين المرضى العقيمين والخصبين الذين يراجعون مراكز أمراض النساء والعقم في نابلس، فلسطين. باستخدام تفاعل البوليميراز المتسلسل (PCR) وزراعة على أجار GC الانتقائي، وجدت الدراسة انتشارًا منخفضًا للنيسرية البنية بنسبة 0.8%، دون وجود فرق معنوي بين مجموعة العقيمين (0.7%) ومجموعة الخصبين (1.1%)، في حين أثبت تفاعل البوليميراز المتسلسل حساسية أعلى من الزراعة في الكشف عن العدوى. وعلى الرغم من أن عدوى النيسرية البنية لم ترتبط بشكل معنوي بالعقم، إلا أن العقم أظهر ارتباطات معنوية مع عوامل مثل تاريخ الإصابة بعدوى المسالك البولية، عدم استخدام الواقي الذكري، الاستخدام المتكرر للحمامات الجالسة، البطالة، وعمل الأزواج في منطقة الـ48. تسلط الدراسة الضوء على الحساسيات الثقافية التي تؤثر على الإبلاغ عن الأمراض المنقولة جنسيًا، وتوصي بإجراء أبحاث أوسع تشمل التحليل الجزيئي ودراسة مقاومة المضادات الحيوية في فلسطين. [Extracted from the article]
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Database: Complementary Index