Perioperative prophylaxis for endophthalmitis after cataract surgery in iran
| Autor: | Hamid-Reza Moein, Masumeh Kalantarion, Marzieh Katibeh, Hossein Ziaei, Mohammad Ali Javadi, Armen Eskandari, Mahboobe Mirzaei |
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| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Endophthalmitis business.industry medicine.drug_class Antibiotics After cataract Perioperative Guideline Cataract Extraction Antibiotic Prophylaxis medicine.disease Surgery Ciprofloxacin Ophthalmology lcsh:Ophthalmology lcsh:RE1-994 Medicine Gentamicin Original Article Antibiotic prophylaxis business medicine.drug |
| Zdroj: | Journal of Ophthalmic & Vision Research Journal of Ophthalmic & Vision Research, Vol 10, Iss 1, Pp 33-36 (2015) |
| ISSN: | 2008-2010 |
| Popis: | Purpose: To describe prophylactic patterns employed against endophthalmitis after cataract surgery in Iran. Methods: This cross-sectional study included 486 ophthalmologists filling in a self-administered questionnaire during the 20 th Annual Congress of the Iranian Society of Ophthalmology in December 2010, Tehran, working in both private and academic medical centers. Prophylactic measures used preoperatively, intraoperatively and postoperatively and self-reported rates of endophthalmitis were assessed as the main outcome measurements. Results: In the preoperative phase, 75.5% of surgeons used povidone-iodine in the conjunctival sac and 71.4% of them did not use antibiotics. The rate of intraoperative prophylaxis was 61.9% either in the form of intracameral antibiotics or subconjunctival injection (mostly cephazolin or gentamicin). Only 7.8% of participants used intracameral cephalosporins. Postoperative antibiotics [mostly chloramphenicol (57%) and ciprofloxacin (28%)] were used by 94.2% of surgeons. On average, ten years of practice were required to observe one case of endophthalmitis. Conclusion: The surgeons in present setting used various prophylactic regimens against endophthalmitis after cataract surgery. Setting a local and evidence-based clinical practice guideline seems necessary. |
| Databáze: | OpenAIRE |
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