Bacteria in the transfer catheter tip influence the live-birth rate after in vitro fertilization

Objective: To assess the impact of individual bacteria isolated from the vagina and tip of the embryo transfer catheter on live-birth rates. Design: Prospective clinical study. Setting: Infertility outpatient clinic of a university hospital. Patient(s): Ninety-one women undergoing IVF-ET. Interventi...

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Veröffentlicht in:Fertility and sterility 2000-12, Vol.74 (6), p.1118-1124
Hauptverfasser: Moore, Donald E, Soules, Michael R, Klein, Nancy A, Fujimoto, Victor Y, Agnew, Kathy J, Eschenbach, David A
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container_end_page 1124
container_issue 6
container_start_page 1118
container_title Fertility and sterility
container_volume 74
creator Moore, Donald E
Soules, Michael R
Klein, Nancy A
Fujimoto, Victor Y
Agnew, Kathy J
Eschenbach, David A
description Objective: To assess the impact of individual bacteria isolated from the vagina and tip of the embryo transfer catheter on live-birth rates. Design: Prospective clinical study. Setting: Infertility outpatient clinic of a university hospital. Patient(s): Ninety-one women undergoing IVF-ET. Intervention(s): Cultures were obtained from the vagina for aerobic and anaerobic bacteria at the time of both sonographic egg retrieval and embryo transfer and from the tip of the embryo transfer catheter. Doxycycline treatment was started after egg retrieval. Main Outcome Measure(s): The live birth of one or more neonates. Result(s): Doxycycline had no substantial impact on the recovery of individual vaginal bacteria or on bacterial vaginosis. An increase in live-birth rate was associated with the recovery of hydrogen peroxide–producing Lactobacillus from the vagina ( P=0.01) and from the embryo transfer catheter ( P=0.01). In contrast, a reduction in live-birth rate was associated with recovery of Streptococcus viridans ( S. viridans) from the embryo transfer catheter tip ( P=0.04). Conclusion(s): In the setting of IVF-ET, prophylactic doxycycline had little effect on vaginal bacteria. Specific bacteria recovered from the embryo transfer catheter appear associated with a detrimental or beneficial effect or with no effect on live-birth rates.
doi_str_mv 10.1016/S0015-0282(00)01624-1
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Design: Prospective clinical study. Setting: Infertility outpatient clinic of a university hospital. Patient(s): Ninety-one women undergoing IVF-ET. Intervention(s): Cultures were obtained from the vagina for aerobic and anaerobic bacteria at the time of both sonographic egg retrieval and embryo transfer and from the tip of the embryo transfer catheter. Doxycycline treatment was started after egg retrieval. Main Outcome Measure(s): The live birth of one or more neonates. Result(s): Doxycycline had no substantial impact on the recovery of individual vaginal bacteria or on bacterial vaginosis. An increase in live-birth rate was associated with the recovery of hydrogen peroxide–producing Lactobacillus from the vagina ( P=0.01) and from the embryo transfer catheter ( P=0.01). In contrast, a reduction in live-birth rate was associated with recovery of Streptococcus viridans ( S. viridans) from the embryo transfer catheter tip ( P=0.04). Conclusion(s): In the setting of IVF-ET, prophylactic doxycycline had little effect on vaginal bacteria. Specific bacteria recovered from the embryo transfer catheter appear associated with a detrimental or beneficial effect or with no effect on live-birth rates.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/S0015-0282(00)01624-1</identifier><identifier>PMID: 11119737</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Anti-Bacterial Agents - therapeutic use ; Bacteria - drug effects ; Bacteria - isolation &amp; purification ; Biological and medical sciences ; Birth control ; Birth Rate ; Catheterization ; Doxycycline - therapeutic use ; Embryo Transfer ; Equipment Contamination ; Female ; Fertilization in Vitro ; Gynecology. Andrology. Obstetrics ; Humans ; Infection ; IVF-ET ; Lactobacillus - isolation &amp; purification ; Medical sciences ; prophylactic antibiotics ; Prospective Studies ; Sterility. 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subjects Adult
Anti-Bacterial Agents - therapeutic use
Bacteria - drug effects
Bacteria - isolation & purification
Biological and medical sciences
Birth control
Birth Rate
Catheterization
Doxycycline - therapeutic use
Embryo Transfer
Equipment Contamination
Female
Fertilization in Vitro
Gynecology. Andrology. Obstetrics
Humans
Infection
IVF-ET
Lactobacillus - isolation & purification
Medical sciences
prophylactic antibiotics
Prospective Studies
Sterility. Assisted procreation
Streptococcus - isolation & purification
transfer catheter
Vagina - microbiology
Vaginosis, Bacterial - drug therapy
Vaginosis, Bacterial - microbiology
title Bacteria in the transfer catheter tip influence the live-birth rate after in vitro fertilization
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