Antibiotic usage in surgical sperm retrievals among IVF centers
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-s...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Asian Journal of Andrology |
| Subjects: | |
| Online Access: | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2022;volume=24;issue=6;spage=633;epage=638;aulast=Khoa |
| _version_ | 1828130298758430720 |
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| author | Le Dang Khoa Ngo Dinh Trieu Vy Nguyen Minh Tai Loc Le Duc Thang Dang Tuan Anh Nguyen Phuc Hieu Giang Huynh Nhu Nguyen Dinh Tao Le Hoang David J Handelsman |
| author_facet | Le Dang Khoa Ngo Dinh Trieu Vy Nguyen Minh Tai Loc Le Duc Thang Dang Tuan Anh Nguyen Phuc Hieu Giang Huynh Nhu Nguyen Dinh Tao Le Hoang David J Handelsman |
| author_sort | Le Dang Khoa |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T16:32:00Z |
| format | Article |
| id | doaj.art-e1399cfd18754a43bf3efbc0caaf9b87 |
| institution | Directory Open Access Journal |
| issn | 1008-682X 1745-7262 |
| language | English |
| last_indexed | 2024-04-11T16:32:00Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Journal of Andrology |
| spelling | doaj.art-e1399cfd18754a43bf3efbc0caaf9b872022-12-22T04:14:01ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622022-01-0124663363810.4103/aja2021123Antibiotic usage in surgical sperm retrievals among IVF centersLe Dang KhoaNgo Dinh Trieu VyNguyen Minh Tai LocLe Duc ThangDang Tuan AnhNguyen Phuc HieuGiang Huynh NhuNguyen Dinh TaoLe HoangDavid J HandelsmanSurgical 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.http://www.ajandrology.com/article.asp?issn=1008-682X;year=2022;volume=24;issue=6;spage=633;epage=638;aulast=Khoaantibiotic usage; in vitro fertilization; prophylaxis; surgical sperm retrieval; treatment |
| spellingShingle | Le Dang Khoa Ngo Dinh Trieu Vy Nguyen Minh Tai Loc Le Duc Thang Dang Tuan Anh Nguyen Phuc Hieu Giang Huynh Nhu Nguyen Dinh Tao Le Hoang David J Handelsman Antibiotic usage in surgical sperm retrievals among IVF centers Asian Journal of Andrology antibiotic usage; in vitro fertilization; prophylaxis; surgical sperm retrieval; treatment |
| title | Antibiotic usage in surgical sperm retrievals among IVF centers |
| title_full | Antibiotic usage in surgical sperm retrievals among IVF centers |
| title_fullStr | Antibiotic usage in surgical sperm retrievals among IVF centers |
| title_full_unstemmed | Antibiotic usage in surgical sperm retrievals among IVF centers |
| title_short | Antibiotic usage in surgical sperm retrievals among IVF centers |
| title_sort | antibiotic usage in surgical sperm retrievals among ivf centers |
| topic | antibiotic usage; in vitro fertilization; prophylaxis; surgical sperm retrieval; treatment |
| url | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2022;volume=24;issue=6;spage=633;epage=638;aulast=Khoa |
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