prophylactic patterns for post-cataract surgery endophthalmitis in iran

نویسندگان

مرضیه کتیبه

katibeh ophthalmic epidemiology research center, shahid beheshti university of medical sciences, tehran, iranتهران- پاسداران- بوستان نهم- خیابان پایدارفرد (خیابان امیر ابراهیمی)- پلاک 23- مرکز تحقیقات اپیدمیولوژی بیماری های چشم دانشگاه علوم پزشکی شهید بهشتی حسین ضیایی

h ziaei shahid beheshti university of medical sciencesدانشگاه علوم پزشکی شهید بهشتی آرمن اسکندری

a eskandari ophthalmic research center, shahid beheshti university of medical sciences, tehran, iranمرکز تحقیقات چشم- دانشگاه علوم پزشکی شهید بهشتی حمیدرضا معین

hr moein ophthalmic research center, shahid beheshti university of medical sciences, tehran, iranمرکز تحقیقات چشم- دانشگاه علوم پزشکی شهید بهشتی محبوبه میرزایی

چکیده

purpose: to describe the prophylactic patterns for endophthalmitis after cataract surgery in iran. methods: in this cross-sectional study, 486 ophthalmologists, members of iranian society of ophthalmology, who participated in the 20th annual meeting of ophthalmology in december 2010, tehran-iran, filled a self-administered questionnaire. a wide range of ophthalmologists, from all around the country, working in private and academic medical centers, entered the study. pre-, intra- and postoperative prophylactic measures and self-reported rate of endophthalmitis were assessed. results: preoperatively, 75.5% of surgeons used povidone-iodine in the conjunctival sac and only 28.6% of them used oral antibiotics. intraoperative measures used by 61.9% of ophthalmologist included intracameral or subconjunctival injection of antibiotics. only 7.8% used intracameral cephalosporins. postoperative antibiotics [mostly chloramphenicol (57%) and ciprofloxacin (28%)] were used by 94.2% of the surgeons. ten years of practice were required to observe one case of endophthalmitis. conclusions: prophylaxis regimens vary among iranian ophthalmologist, which need to be updated according to recent guidelines.

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