{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:30:46Z","timestamp":1715733046429},"reference-count":52,"publisher":"Akademiai Kiado Zrt.","issue":"17","license":[{"start":{"date-parts":[[2023,4,30]],"date-time":"2023-04-30T00:00:00Z","timestamp":1682812800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,4,30]]},"abstract":"<jats:p>Vil\u00e1gszerte egyre t\u00f6bb p\u00e1r keres fel medd\u0151s\u00e9g miatt assziszt\u00e1lt reprodukci\u00f3s\n                    k\u00f6zpontot. Vitatott k\u00e9rd\u00e9s, hogy a kivizsg\u00e1l\u00e1s \u00e9s a kezel\u00e9s sor\u00e1n sz\u00fcks\u00e9ges-e a\n                    sperma rutinszer\u0171 bakteriol\u00f3giai sz\u0171r\u00e9se. Az ond\u00f3 a mintanyer\u00e9s higi\u00e9niai\n                    szab\u00e1lyainak betart\u00e1sa mellett is gyakran tartalmaz bakt\u00e9riumokat. Egyre t\u00f6bb\n                    tanulm\u00e1ny foglalkozik a sperma mikrobiomj\u00e1nak vizsg\u00e1lat\u00e1val. Bacteriospermia\n                    nemcsak fert\u0151z\u00e9s, hanem kontamin\u00e1ci\u00f3 vagy koloniz\u00e1ci\u00f3 folyt\u00e1n is kialakulhat. A\n                    panaszokat okoz\u00f3 fert\u0151z\u00e9seket vagy szexu\u00e1lis \u00faton terjed\u0151 betegs\u00e9geket kezelni\n                    kell, de megoszlanak a v\u00e9lem\u00e9nyek a t\u00fcnetmentes pozit\u00edv teny\u00e9szt\u00e9si leletek\n                    jelent\u0151s\u00e9g\u00e9r\u0151l. Sz\u00e1mos kutat\u00e1s szerint lehet oki szerepe a h\u00fagy\u00fati fert\u0151z\u00e9seknek\n                    a f\u00e9rfimedd\u0151s\u00e9g kialakul\u00e1s\u00e1ban, \u00e9s az ond\u00f3 min\u0151s\u00e9g\u00e9t ronthatja az emelkedett\n                    bakt\u00e9rium- vagy feh\u00e9rv\u00e9rsejtsz\u00e1m. Ellentmond\u00f3k azonban az eredm\u00e9nyek a\n                    bacteriospermia \u00e9s a leukocytospermia kezel\u00e9s\u00e9nek a spermak\u00e9pre gyakorolt\n                    hat\u00e1s\u00e1r\u00f3l. A mikrob\u00e1kkal szennyezett sperma megfert\u0151zheti a l\u00e9trej\u00f6v\u0151 embri\u00f3kat\n                    is, \u00e9s ezzel vesz\u00e9lyeztetheti a kezel\u00e9s sikeress\u00e9g\u00e9t. Ezzel szemben a legt\u00f6bb\n                    tanulm\u00e1ny nem tal\u00e1lt szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get az <jats:italic>in vitro<\/jats:italic>\n                    fertiliz\u00e1ci\u00f3s kezel\u00e9s eredm\u00e9nyess\u00e9g\u00e9ben bacteriospermia jelenl\u00e9t\u00e9ben vagy\n                    hi\u00e1ny\u00e1ban. Ez magyar\u00e1zhat\u00f3 a sperma-el\u0151k\u00e9sz\u00edt\u00e9si technik\u00e1kkal, a\n                    teny\u00e9szt\u0151oldatok antibiotikumtartalm\u00e1val \u00e9s az intracitoplazmatikus\n                    spermiuminjekci\u00f3 m\u00f3dszer\u00e9nek haszn\u00e1lat\u00e1val. \u00cdgy megk\u00e9rd\u0151jelezhet\u0151 a kezel\u00e9s\n                    sor\u00e1n rutinszer\u0171en v\u00e9gzett ond\u00f3teny\u00e9szt\u00e9s sz\u00fcks\u00e9gess\u00e9ge \u00e9s a t\u00fcnetmentes\n                    bacteriospermia kezel\u00e9se. Orv Hetil. 2023; 164(17): 660\u2013666.<\/jats:p>","DOI":"10.1556\/650.2023.32753","type":"journal-article","created":{"date-parts":[[2023,4,30]],"date-time":"2023-04-30T13:00:50Z","timestamp":1682859650000},"page":"660-666","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Indokolt-e a spermamint\u00e1k bakteriol\u00f3giai sz\u0171r\u00e9se in vitro fertiliz\u00e1ci\u00f3 el\u0151tt?"],"prefix":"10.1556","volume":"164","author":[{"given":"\u00c9va","family":"Berkes-Bara","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Assziszt\u00e1lt Reprodukci\u00f3s Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annam\u00e1ria","family":"Nemes","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Assziszt\u00e1lt Reprodukci\u00f3s Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kata","family":"Jo\u00f3","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Assziszt\u00e1lt Reprodukci\u00f3s Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Be\u00e1ta","family":"Dud\u00e1s","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Assziszt\u00e1lt Reprodukci\u00f3s Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1kos","family":"Murber","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Assziszt\u00e1lt Reprodukci\u00f3s Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e1nos","family":"Urbancsek","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Assziszt\u00e1lt Reprodukci\u00f3s Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Fancsovits","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Assziszt\u00e1lt Reprodukci\u00f3s Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"10952","DOI":"10.18632\/aging.102497","article-title":"Global, regional, and national prevalence and disability-adjusted life-years for infertility in 195 countries and territories, 1990-2017: results from a global burden of disease study, 2017","volume":"11","author":"1 Sun","year":"2019","unstructured":"1 Sun H, Gong TT, Jiang YT, et al. 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