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The role of Ureaplasma spp. in the development of non-gonococcal urethritis and infertility among men

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Author
Beeton, Michael L.
Payne, Matthew S.
Jones, L.
Date
2019-07-03
Acceptance date
2019-05-15
Type
Article
Publisher
American Society for Microbiology
ISSN
1098-6618
Metadata
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Abstract
Ureaplasma spp. are a genus of bacteria for which two human associated species exist; Ureaplasma urealyticum and Ureaplasma parvum. Their definition as a pathogen in the context of non-gonococcal urethritis and infertility among males remains highly controversial, largely due to historically high isolation rates of these bacteria from the urethra of seemingly healthy men. This review summarises the emerging evidence suggesting a true pathogenic role of these bacteria under specific conditions, which we term as risk factors. We examine the historical, clinical and experimental studies which support a causal role for Ureaplasma spp in the development of NGU as well as some of the proposed mechanisms behind the association of Ureaplasma spp. and the development of infertility. Finally, we discuss the potential for developing a case-by-case risk-based approach towards the management of men who present with seemingly idiopathic NGU, but are positive for Ureaplasma spp.
Journal/conference proceeding
Clinical Microbiology Reviews;
Citation
Beeton, M.L., Payne, M.S. and Jones, L. (2019) 'The Role of Ureaplasma spp. in the Development of Nongonococcal Urethritis and Infertility among Men', Clinical Microbiology Reviews, 32(4), pp.e00137-18.
URI
http://hdl.handle.net/10369/10515
DOI
https://doi.org/10.1128/CMR.00137-18
Description
Article published in Clinical Microbiology Reviews on 03 July 2019, available at: https://doi.org/10.1128/CMR.00137-18.
Rights
https://creativecommons.org/licenses/by-nc/4.0/
Sponsorship
Cardiff Metropolitan University (Grant ID: Cardiff Metropolian (Internal))
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