Evidence map›Paper›PMID 34632426›Full record

Trial reportF&S science2021

Association of vaginal bacterial communities and reproductive outcomes with prophylactic antibiotic exposure in a subfertile population undergoing in vitro fertilization: a prospective exploratory study.

Ashley M Eskew, Molly J Stout, Bronwyn S Bedrick, Joan K Riley, Brandi N Herter, Haley Gula, Emily S Jungheim, Kristine M Wylie

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in F&S science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03386227 (Prophylactic Antibiotics Prior to Embryo Transfer), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03386227 naterminatednot on this map

Prophylactic Antibiotics Prior to Embryo Transfer: a Randomized Controlled Trial

TypeinterventionalSponsorWashington University School of MedicineRan2018 to 2019Enrolled96ConditionsAssisted Reproductive Technology, Antibiotic Prophylaxis, Embryo TransferArmsWithholding antibiotic prophylaxis
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Antibiotics prior to or at the time of embryo transfer in ART.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Ashley M EskewDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, Missouri.
Molly J StoutDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, Missouri.
Bronwyn S BedrickDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, Missouri.
Joan K RileyDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, Missouri.
Brandi N HerterDivision of Infectious Diseases, Department of Pediatrics, Washington University in St. Louis, St. Louis, Missouri.
Haley GulaDivision of Infectious Diseases, Department of Pediatrics, Washington University in St. Louis, St. Louis, Missouri.
Emily S JungheimDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Washington University in St. Louis, St. Louis, Missouri.
Kristine M WylieDivision of Infectious Diseases, Department of Pediatrics, Washington University in St. Louis, St. Louis, Missouri.
Washington University in St. Louis · USInstitute for Women's Policy Research · USJohns Hopkins Medicine · USNorthwestern University · USUniversity of Michigan–Ann Arbor · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Reproductive Epidemiology Training Program at Washington University in St. LouisT32HD055172 · NICHD · WASHINGTON UNIVERSITY · PI MADDEN, TESSA · 2009 to 2018
$2.5M
NCATS NIH HHS UL1 TR002345NICHD NIH HHS T32 HD055172
6 · The paper itself

Abstract

objectiveTo determine whether prophylactic azithromycin is associated with the vaginal bacterial microbiome and clinical outcomes in subfertile women undergoing in vitro fertilization (IVF).

designProspective exploratory cohort study.

settingSingle academic fertility center. PATIENTS: Subfertile women aged 18-43 years undergoing their first IVF cycle and fresh embryo transfer.

interventionPrimary exposure to prophylactic azithromycin (1 g orally) once at baseline.

main outcome measuresThe primary outcome was the effect of azithromycin on the vaginal microbiome compared with a no-azithromycin group at 3 time points throughout the IVF cycle (baseline, retrieval, and embryo transfer). The secondary outcomes were associations of vaginal bacterial communities with clinical outcomes.

resultsA planned a priori exploratory cohort of 27 subjects (12 in the azithromycin treatment group and 15 in the no-azithromycin group) contributed 79 vaginal swabs for the analysis as part of an ongoing randomized, controlled noninferiority trial. No specific taxa were associated with azithromycin or pregnancy at any time point. Azithromycin did not affect alpha diversity or community stability. Although there were trends of a lower bacterial load and higher percentage of

conclusionsProphylactic azithromycin at baseline is not associated with changes in vaginal bacterial communities. Bacterial community features at the time of embryo transfer are associated with pregnancy. Bacterial community structures at baseline are not predictive of those at the time of embryo transfer. CLINICAL TRIAL REGISTRATION NUMBER: NCT03386227.

Indexed as

AzithromycinInfertilityAnti-Bacterial AgentsCohort StudiesFemaleFertilization in VitroHumansLactobacillusPregnancyProspective StudiesAnti-Bacterial AgentsAzithromycinIVF outcomesprophylactic antibioticsreproductive microbiomeVaginal microbiome

Identifiers

PMID34632426
PMCPMC8494411
OpenAlexW3118919410

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.