Title
Endophthalmitis prophylaxis in cataract surgery : overview of current practice patterns in 9 European countries Endophthalmitis prophylaxis in cataract surgery : overview of current practice patterns in 9 European countries
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
New york :Elsevier science inc ,
Subject
Human medicine
Source (journal)
Journal of cataract and refractive surgery. - Fairfax, Va
Volume/pages
39(2013) :9 , p. 1421-1431
ISSN
0886-3350
ISI
000324014300020
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Data on practice patterns for prophylaxis against infectious postoperative endophthalmitis (IPOE) during cataract surgery in 9 European countries were searched in national registers and reviews of published surveys. Summary reports assessed each nation's IPOE rates, nonantibiotic prophylactic routines, topical and intracameral antibiotic use, and coherence to the European Society of Cataract & Refractive Surgeons (ESCRS) 2007 guidelines. Although the reliability and completeness of available data vary between countries, the results show that IPOE rates differ significantly. Asepsis routines with povidone iodine and postoperative topical antibiotics are generally adopted. Use of preoperative and perioperative topical antibiotics as well as intracameral cefuroxime varies widely between and within countries. Five years after publication of the ESCRS guidelines, there is no consensus on intracameral cefuroxime use. Major obstacles include legal barriers or persisting controversy about the scientific rationale for systematic intracameral cefuroxime use in some countries and, until recently, lack of a commercially available preparation.
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