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Endophthalmitis prophylaxis in cataract surgery: practice patterns in Greater Poland (Wielkopolska) region in Poland

Poster Details

First Author: A.Grzybowski POLAND

Co Author(s):    M. Gaca-Wysocka   J. Różewicz           

Abstract Details



Purpose:

Assessment of practice patterns in endophtalmitis prophylaxis in cataract surgery in Greater Poland (Wielkopolska) Region in Poland.

Setting:

Practice patterns in endophtalmitis prophylaxis in cataract surgery in Poland are unknown and need to be studied. Greater Poland, about 3.5 mln of inhabitants (8,9% of Poland population) is the third biggest voivodeship in Poland.

Methods:

All local cataract surgery centers (18) were requested to take part in a survey on cataract surgery perioperative prophylaxis. Data were collected from all 18 centers in 2013.

Results:

Antibiotics used in pre-operative endophtalmitis prophylaxis were fluoroquinolones (94%) and chloramphenicol (6%). Pre-operative topical antibiotics: 5 centers (28%) use topical fluoroquinolones 3 days before surgery, 2 centers (11%) 2 days before, 2 centers (11%) 4 days before, and 1 medical center (5%) does not used it all. Preoperative antisepsis of the periocular area with 10% povidone - iodine and 5% povidone iodine instillation to conjunctival sac before surgery was used in 100 % centers. Intracameral cefuroxime injection at the end of the operation was used in was used a standard in every surgery in 72 % centers, and in 28% it was used only in selected cases. Antibiotics used in postoperative endophtalmitis prophylaxis were fluoroquinolones (94%) and chloramphenicol (6%). Antiobiotics postoperatively were used for 3 days (6%), for 10 days (56%), for 2 weeks (16%) and more than 2 weeks (11%). No postoperative antibiotics were used in 2 centers (11%).

Conclusions:

The use of povidone - iodine in the preoperative antisepsis is accepted by 100 % of studied centers, while the standard use of intracameral cefuroxime in 72% of centers. Although majority of centers use topical antibiotics before (94%) and after surgery (89%), there is no consensus regarding the duration of this treatment - from 5 days before to more than 2 weeks after the surgery. The benefits and hazards of preoperative and postoperative use of antibiotics in cataract surgery should be re-analysed and recommendations in this regard prepared. FINANCIAL INTEREST: NONE

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