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Infection precautions for severe acute respiratory syndrome coronavirus 2 in assisted reproduction centers: dodging an invisible bullet
Journal article   Open access   Peer reviewed

Infection precautions for severe acute respiratory syndrome coronavirus 2 in assisted reproduction centers: dodging an invisible bullet

Amy E. T. Sparks and Jessica D. Kresowik
Fertility and sterility, Vol.115(4), pp.831-839
04/01/2021
DOI: 10.1016/j.fertnstert.2021.01.016
PMCID: PMC7834468
PMID: 33750621
url
https://doi.org/10.1016/j.fertnstert.2021.01.016View
Published (Version of record) Open Access

Abstract

The coronavirus disease 2019 pandemic has resulted in many changes in how we interact in society, requiring that we protect ourselves and others from an invisible, airborne enemy called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Until a vaccine is developed, and it reaches high levels of distribution, everyone must continue to be diligent to limit the viral spread. The practice of assisted reproduction during this pandemic presents unique challenges in addition to the risks identified in general clinical care. The established good tissue practices employed in laboratories are not designed to protect gametes and embryos from an airborne virus, particularly one that may be shed by an asymptomatic staff member. Armed with theoretical risks but lacking direct evidence, assisted-reproduction teams must examine every aspect of their practice, identify areas at a risk of exposure to SARS-CoV-2, and develop a mitigation plan. Several professional fertility societies have created guidelines for the best practices in patient care during the coronavirus disease 2019 pandemic. As we learn more about SARS-CoV-2, updates have been issued to help adapt infection-control and -prevention protocols. This review discusses what is currently known about SARS-CoV-2 infection risks in assisted reproductive centers and recommends the implementation of specific mitigation strategies. (C) 2021 by American Society for Reproductive Medicine.
Life Sciences & Biomedicine Obstetrics & Gynecology Reproductive Biology Science & Technology

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