IVF cycle safety when a positive passive air sampling occurs under laminar flow hood in absence of a detectable contamination in the embryo culture

Microbiological contamination in the embryo culture media might affect embryo early development and clinical outcomes during IVF procedures. Infections in the genital tract represent the most common causes of culture contamination, but also environmental air quality might have a detrimental effect o...

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Main Authors: Claudia Omes, Roberto Bassani, Patrizia Cambieri, Fausto Baldanti, Rossella Elena Nappi
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cell and Developmental Biology
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Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2024.1474242/full
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author Claudia Omes
Roberto Bassani
Patrizia Cambieri
Fausto Baldanti
Fausto Baldanti
Rossella Elena Nappi
Rossella Elena Nappi
author_facet Claudia Omes
Roberto Bassani
Patrizia Cambieri
Fausto Baldanti
Fausto Baldanti
Rossella Elena Nappi
Rossella Elena Nappi
author_sort Claudia Omes
collection DOAJ
description Microbiological contamination in the embryo culture media might affect embryo early development and clinical outcomes during IVF procedures. Infections in the genital tract represent the most common causes of culture contamination, but also environmental air quality might have a detrimental effect on reproductive outcomes of infertile couples undergoing IVF procedures. Monitoring microbiological contamination in an embryology laboratory is mandatory and daily tests are performed under laminar vertical flow hood. In this study, we investigated the IVF outcome of procedures carried out during 5 years of laboratory activity when a positive passive air sampling occurs under laminar flow hood in the absence of clear contamination in the embryo culture. We performed 570 air samplings, and we isolated at least 1 CFU of microorganisms in the TSA settle plate in 13 cases (2.28%). No infections were suspected in the culture media given the absence of detectable microorganisms under the microscope or a turbidity/color change of culture media visible to the naked eye (0% contamination rate). There were no statistically significant differences in biochemical pregnancy, live birth rate, and abortion between the “contaminated” Group P and the “negative” Group N. Surprisingly, we found a better outcome in terms of clinical pregnancy rate in Group P as compared to Group N, a finding likely due to the accidental lower age of Group P (p = 0.0133). Data showed that, in the absence of a detectable contamination in the embryo culture media, IVF cycles are safe when an air positive sample occurs in Grade A environment.
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spelling doaj-art-b2a8a276c9e54871869e2f2c58ba18202025-01-23T07:43:55ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2025-01-011210.3389/fcell.2024.14742421474242IVF cycle safety when a positive passive air sampling occurs under laminar flow hood in absence of a detectable contamination in the embryo cultureClaudia Omes0Roberto Bassani1Patrizia Cambieri2Fausto Baldanti3Fausto Baldanti4Rossella Elena Nappi5Rossella Elena Nappi6Center for Reproductive Medicine–Obstetrics and Gynecology Unit 2, Woman and Child Health Department, Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyCenter for Reproductive Medicine–Obstetrics and Gynecology Unit 2, Woman and Child Health Department, Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyMicrobiology and Virology Unit, IRCCS Fondazione Policlinico San Matteo, Pavia, ItalyMicrobiology and Virology Unit, IRCCS Fondazione Policlinico San Matteo, Pavia, ItalyDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, ItalyCenter for Reproductive Medicine–Obstetrics and Gynecology Unit 2, Woman and Child Health Department, Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, ItalyMicrobiological contamination in the embryo culture media might affect embryo early development and clinical outcomes during IVF procedures. Infections in the genital tract represent the most common causes of culture contamination, but also environmental air quality might have a detrimental effect on reproductive outcomes of infertile couples undergoing IVF procedures. Monitoring microbiological contamination in an embryology laboratory is mandatory and daily tests are performed under laminar vertical flow hood. In this study, we investigated the IVF outcome of procedures carried out during 5 years of laboratory activity when a positive passive air sampling occurs under laminar flow hood in the absence of clear contamination in the embryo culture. We performed 570 air samplings, and we isolated at least 1 CFU of microorganisms in the TSA settle plate in 13 cases (2.28%). No infections were suspected in the culture media given the absence of detectable microorganisms under the microscope or a turbidity/color change of culture media visible to the naked eye (0% contamination rate). There were no statistically significant differences in biochemical pregnancy, live birth rate, and abortion between the “contaminated” Group P and the “negative” Group N. Surprisingly, we found a better outcome in terms of clinical pregnancy rate in Group P as compared to Group N, a finding likely due to the accidental lower age of Group P (p = 0.0133). Data showed that, in the absence of a detectable contamination in the embryo culture media, IVF cycles are safe when an air positive sample occurs in Grade A environment.https://www.frontiersin.org/articles/10.3389/fcell.2024.1474242/fullair qualityembryo cultureclinical outcomeIVF proceduresmicrobiological contamination
spellingShingle Claudia Omes
Roberto Bassani
Patrizia Cambieri
Fausto Baldanti
Fausto Baldanti
Rossella Elena Nappi
Rossella Elena Nappi
IVF cycle safety when a positive passive air sampling occurs under laminar flow hood in absence of a detectable contamination in the embryo culture
Frontiers in Cell and Developmental Biology
air quality
embryo culture
clinical outcome
IVF procedures
microbiological contamination
title IVF cycle safety when a positive passive air sampling occurs under laminar flow hood in absence of a detectable contamination in the embryo culture
title_full IVF cycle safety when a positive passive air sampling occurs under laminar flow hood in absence of a detectable contamination in the embryo culture
title_fullStr IVF cycle safety when a positive passive air sampling occurs under laminar flow hood in absence of a detectable contamination in the embryo culture
title_full_unstemmed IVF cycle safety when a positive passive air sampling occurs under laminar flow hood in absence of a detectable contamination in the embryo culture
title_short IVF cycle safety when a positive passive air sampling occurs under laminar flow hood in absence of a detectable contamination in the embryo culture
title_sort ivf cycle safety when a positive passive air sampling occurs under laminar flow hood in absence of a detectable contamination in the embryo culture
topic air quality
embryo culture
clinical outcome
IVF procedures
microbiological contamination
url https://www.frontiersin.org/articles/10.3389/fcell.2024.1474242/full
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