A survey of Asian Eye Institutions on perioperative antibiotic prophylaxis in cataract surgery

被引：0

作者：

Garg, Prashant ^{[1
]}

Khor, Wei-Boon ^{[2
,3
]}

Roy, Aravind ^{[4
]}

Tan, Donald Tiang-Hwee ^{[2
,3
,5
]}

机构：

[1] LV Prasad Eye Inst, Hyderabad, India

[2] Singapore Natl Eye Ctr, Singapore, Singapore

[3] Duke NUS Grad Med Sch, Singapore, Singapore

[4] LV Prasad Eye Inst, Vijayawada, Andhra Pradesh, India

[5] Camden Med Ctr, 1 Orchard Blvd,13-03, Singapore 248649, Singapore

来源：

INTERNATIONAL OPHTHALMOLOGY | 2023年 / 43卷 / 11期

关键词：

Cataract; Infection; Prophylaxis; Perioperative; Asia; POSTOPERATIVE ENDOPHTHALMITIS; POSTCATARACT ENDOPHTHALMITIS; INTRACAMERAL CEFUROXIME; MICROBIAL KERATITIS; 12-YEAR ANALYSIS; BACTERIAL; MOXIFLOXACIN; MULTICENTER; PREVENTION; TRENDS;

D O I：

10.1007/s10792-023-02816-w

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

PurposeTo determine current institutional practice patterns for the use of perioperative antibiotics and other measures to prevent infection after cataract surgery in Asia.MethodsAn online survey-based study of leading eye institutions in China, Hong Kong, India, Indonesia, Japan, Malaysia, Pakistan, Philippines, Singapore, South Korea, Taiwan, Thailand and Vietnam was conducted. The survey was administered to 26 representative key opinion leaders from prominent tertiary eye institutions that are also national academic teaching institutions in Asia. Survey responses were collated and anonymized during analysis.ResultsAll surveyed institutions used povidone iodine for the preoperative antiseptic preparation of the eye, with notable variations in the concentration of povidone iodine used for conjunctival sac instillation. Preoperative topical antibiotics were prescribed by 61.5% and 69.2% of institutions in low-risk and high-risk cases, respectively. Regarding the use of intra-operative antibiotics, 60.0% and 66.7% of institutions administered intracameral antibiotics in low-risk and high-risk patients, respectively. Postoperative topical antibiotics use patterns were generally very similar in low-risk and high-risk patients. Over half of the institutions (52.2% and 68.0% in low-risk and high-risk patients, respectively) also indicated prolonged postoperative use of topical antibiotics (> 2 weeks). Not all surveyed institutions had established policies/protocols for perioperative antibiotic use in cataract surgery, endophthalmitis surveillance, and/or a monitoring program for emerging antimicrobial resistance.ConclusionThere are variations in antimicrobial prophylaxis approaches to preoperative, intra-operative and postoperative regimens in cataract surgery in Asia. More evidence-based research is needed to support the development of detailed guidelines for perioperative antibiotic prophylaxis to reduce postoperative infections.

引用

页码：4151 / 4162

页数：12

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