Perioperative prophylaxis for endophthalmitis after cataract surgery in Iran
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 Dece...
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doaj-05797f046ef348559463a4750ad457ea2020-11-25T02:11:37ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2015-01-01101333610.4103/2008-322X.156096Perioperative prophylaxis for endophthalmitis after cataract surgery in IranMarzieh KatibehHossein ZiaeiMahboobe MirzaeiArmen EskandariHamidreza MoeinMasumeh KalantarionMohammadali JavadiPurpose: 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.http://www.jovr.org/article.asp?issn=2008-322X;year=2015;volume=10;issue=1;spage=33;epage=36;aulast=KatibehAntibiotic Prophylaxis; Cataract Extraction; Endophthalmitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marzieh Katibeh Hossein Ziaei Mahboobe Mirzaei Armen Eskandari Hamidreza Moein Masumeh Kalantarion Mohammadali Javadi |
spellingShingle |
Marzieh Katibeh Hossein Ziaei Mahboobe Mirzaei Armen Eskandari Hamidreza Moein Masumeh Kalantarion Mohammadali Javadi Perioperative prophylaxis for endophthalmitis after cataract surgery in Iran Journal of Ophthalmic & Vision Research Antibiotic Prophylaxis; Cataract Extraction; Endophthalmitis |
author_facet |
Marzieh Katibeh Hossein Ziaei Mahboobe Mirzaei Armen Eskandari Hamidreza Moein Masumeh Kalantarion Mohammadali Javadi |
author_sort |
Marzieh Katibeh |
title |
Perioperative prophylaxis for endophthalmitis after cataract surgery in Iran |
title_short |
Perioperative prophylaxis for endophthalmitis after cataract surgery in Iran |
title_full |
Perioperative prophylaxis for endophthalmitis after cataract surgery in Iran |
title_fullStr |
Perioperative prophylaxis for endophthalmitis after cataract surgery in Iran |
title_full_unstemmed |
Perioperative prophylaxis for endophthalmitis after cataract surgery in Iran |
title_sort |
perioperative prophylaxis for endophthalmitis after cataract surgery in iran |
publisher |
Knowledge E |
series |
Journal of Ophthalmic & Vision Research |
issn |
2008-322X |
publishDate |
2015-01-01 |
description |
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. |
topic |
Antibiotic Prophylaxis; Cataract Extraction; Endophthalmitis |
url |
http://www.jovr.org/article.asp?issn=2008-322X;year=2015;volume=10;issue=1;spage=33;epage=36;aulast=Katibeh |
work_keys_str_mv |
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