Antibiotic usage in surgical sperm retrievals among IVF centers.
| Title: | Antibiotic usage in surgical sperm retrievals among IVF centers. |
|---|---|
| Authors: | Khoa LD; IVFTA, Tam Anh General Hospital, Ho Chi Minh 700000, Vietnam.; Trieu Vy ND; IVFTA, Tam Anh General Hospital, Ho Chi Minh 700000, Vietnam.; Tai Loc NM; IVFTA, Tam Anh General Hospital, Ho Chi Minh 700000, Vietnam.; Thang LD; IVFTA, Tam Anh General Hospital, Ha Noi 100000, Vietnam.; Anh DT; IVFTA, Tam Anh General Hospital, Ha Noi 100000, Vietnam.; Hieu NP; IVFTA, Tam Anh General Hospital, Ha Noi 100000, Vietnam.; Nhu GH; IVFTA, Tam Anh General Hospital, Ho Chi Minh 700000, Vietnam.; Tao ND; IVF Center, 16A Ha Dong Hospital, Ha Noi 100000, Vietnam.; Hoang L; IVFTA, Tam Anh General Hospital, Ha Noi 100000, Vietnam.; Handelsman DJ; ANZAC Research Institute, University of Sydney and Concord Repatriation General Hospital, Hospital Road, Concord, NSW 2139, Australia. |
| Source: | Asian journal of andrology [Asian J Androl] 2022 Nov-Dec; Vol. 24 (6), pp. 633-638. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Shanghai Materia Medica Country of Publication: China NLM ID: 100942132 Publication Model: Print Cited Medium: Internet ISSN: 1745-7262 (Electronic) Linking ISSN: 1008682X NLM ISO Abbreviation: Asian J Androl Subsets: MEDLINE |
| Imprint Name(s): | Publication: Shanghai : Shanghai Materia Medica; Original Publication: Beijing : Science Press |
| MeSH Terms: | Anti-Bacterial Agents*/therapeutic use ; Sperm Retrieval*; Humans ; Male ; Female ; Cross-Sectional Studies ; Semen ; Surveys and Questionnaires ; Fertilization in Vitro ; Practice Patterns, Physicians' |
| Abstract: | Surgical sperm retrieval (SSR) is currently one of the most common procedures in in vitro fertilization (IVF). However, a gap between the guidelines and routine clinical practice regarding antibiotic use in SSR, which might lead to antibiotic resistance, is a challenging problem worldwide. A cross-sectional survey was conducted from May 1, 2021, to July 15, 2021, to investigate antibiotic usage by medical professionals when performing SSR in IVF centers in Vietnam. The confidential questionnaire comprised 12 items, including characteristics of the study population, awareness of antimicrobial resistance, attitude toward prescribing antibiotics, and current practice of prescribing antibiotics when performing SSR. Surveys were completed by 30 of 45 registered IVF centers (66.7%). Among 67 physicians working at those centers, the age and work-experience years (mean ± standard deviation [s.d.]) were 38.6 ± 6.6 years and 11.2 ± 7.0 years, respectively. Over 60% of them held a degree in Obstetrics and Gynecology, and over four-fifths were men. Most respondents "often/very often/always" raised awareness of antimicrobial resistance to their patients (83.3%), but only half of them "often/occasionally" prescribed antibiotics to patients with SSR in cases where the prescription would be optional. About one-tenth of respondents followed the recommendation from the American Urological Association using "prophylaxis only" for SSR patients. For more invasive SSR, physicians tended to prescribe more complicated and sometimes inappropriate regimens. In conclusion, antibiotic usage in SSR was not always appropriate among IVF centers. Further studies may define specific recommendations for regimens, intervention strategies, and programs to promote appropriate antibiotic use for SSR patients among IVF specialists. |
| Competing Interests: | None |
| References: | J Urol. 1989 Jul;142(1):62-5. (PMID: 2499695); JAMA Surg. 2017 Aug 01;152(8):784-791. (PMID: 28467526); Hum Reprod. 1994 Sep;9(9):1705-9. (PMID: 7836522); Asian J Surg. 2015 Oct;38(4):224-8. (PMID: 25957214); Hum Reprod. 1995 Jun;10(6):1457-60. (PMID: 7593514); Int Braz J Urol. 2011 Sep-Oct;37(5):570-83. (PMID: 22099268); Eur Urol. 2008 Dec;54(6):1270-86. (PMID: 18423974); J Urol. 2020 Feb;203(2):351-356. (PMID: 31441676); Int J Antimicrob Agents. 2004 Mar;23 Suppl 1:S17-23. (PMID: 15037324); Jpn J Infect Dis. 2009 Nov;62(6):440-3. (PMID: 19934535); PLoS One. 2017 Dec 21;12(12):e0189621. (PMID: 29267306); Am J Health Syst Pharm. 2013 Feb 1;70(3):195-283. (PMID: 23327981); Mayo Clin Proc. 2011 Feb;86(2):156-67. (PMID: 21282489) |
| Contributed Indexing: | Keywords: antibiotic usage; fertilization; in vitro; prophylaxis; surgical sperm retrieval; treatment |
| Substance Nomenclature: | 0 (Anti-Bacterial Agents) |
| Entry Date(s): | Date Created: 20220328 Date Completed: 20221110 Latest Revision: 20230106 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC9809496 |
| DOI: | 10.4103/aja2021123 |
| PMID: | 35343177 |
| Database: | MEDLINE |
Journal Article