Adherence to European Society for Cataract and Refractive Surgery recommendations among italian cataract surgeons: A survey

Andrea Grosso, Grazia Pertile, Giorgio Marchini, Giuseppe Scarpa, Piero Ceruti, Guido Prigione, Mario R. Romano, Fabrizio Bert, Renata Gili, Claudio Panico, Roberta Siliquini, Michael Engelbert

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: To survey the surgical routines with regards to prophylactic strategies in a sample of Italian hospitals and compare these with European Society for Cataract and Refractive Surgery (ESCRS) guidelines.Methods: Six private and 18 public hospitals were included in this clinical-based retrospective study.The overall volume of cataract operations in the 24 centers in 2013 was 43,553.Main outcome measure was incidence of endophthalmitis per 1,000.An incidence of less than 0.13% was considered acceptable.Results: Our study provides the first Italian data on the use of intracameral antibiotics in cataract surgery as recommended by the ESCRS.Thirteen centers (54%) used intracameral cefuroxime at the end of surgery.Of the 13 centers that used cefuroxime, 8 (62%) had an incidence of endophthalmitis less than 0.13%.Of the 7 (29%) centers that did not use intracameral cefuroxime, all had an endophthalmitis rate of greater than 0.13%.This difference was statistically significant (p<0.05).Among the 4 centers not included, 2 used vancomycin in the infusion bottle, 1 a fluoroquinolone, and the last a combination of antibiotics.The majority of surgeons (71%) used preoperative antibiotic eyedrops, but this measure was not shown to be significantly protective.Conclusions: Slightly more than half of the centers surveyed in this study adhered to the recommendations of the ESCRS and routinely employed prophylactic intracameral cefuroxime.An incidence of endophthalmitis greater than 0.13% was encountered significantly more frequently among centers that did not employ intracameral cefuroxime.

Original languageEnglish
Pages (from-to)398-404
Number of pages7
JournalEuropean Journal of Ophthalmology
Volume26
Issue number5
DOIs
Publication statusPublished - Sep 1 2016

Fingerprint

Refractive Surgical Procedures
Cefuroxime
Endophthalmitis
Cataract
Incidence
Anti-Bacterial Agents
Ophthalmic Solutions
Public Hospitals
Fluoroquinolones
Vancomycin
Retrospective Studies
Outcome Assessment (Health Care)
Surveys and Questionnaires
Surgeons
Guidelines

Keywords

  • Cataract surgery
  • Endophthalmitis
  • Prophylaxis
  • Survey

ASJC Scopus subject areas

  • Medicine(all)
  • Ophthalmology

Cite this

Adherence to European Society for Cataract and Refractive Surgery recommendations among italian cataract surgeons : A survey. / Grosso, Andrea; Pertile, Grazia; Marchini, Giorgio; Scarpa, Giuseppe; Ceruti, Piero; Prigione, Guido; Romano, Mario R.; Bert, Fabrizio; Gili, Renata; Panico, Claudio; Siliquini, Roberta; Engelbert, Michael.

In: European Journal of Ophthalmology, Vol. 26, No. 5, 01.09.2016, p. 398-404.

Research output: Contribution to journalArticle

Grosso, A, Pertile, G, Marchini, G, Scarpa, G, Ceruti, P, Prigione, G, Romano, MR, Bert, F, Gili, R, Panico, C, Siliquini, R & Engelbert, M 2016, 'Adherence to European Society for Cataract and Refractive Surgery recommendations among italian cataract surgeons: A survey', European Journal of Ophthalmology, vol. 26, no. 5, pp. 398-404. https://doi.org/10.5301/ejo.5000738
Grosso, Andrea ; Pertile, Grazia ; Marchini, Giorgio ; Scarpa, Giuseppe ; Ceruti, Piero ; Prigione, Guido ; Romano, Mario R. ; Bert, Fabrizio ; Gili, Renata ; Panico, Claudio ; Siliquini, Roberta ; Engelbert, Michael. / Adherence to European Society for Cataract and Refractive Surgery recommendations among italian cataract surgeons : A survey. In: European Journal of Ophthalmology. 2016 ; Vol. 26, No. 5. pp. 398-404.
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abstract = "Purpose: To survey the surgical routines with regards to prophylactic strategies in a sample of Italian hospitals and compare these with European Society for Cataract and Refractive Surgery (ESCRS) guidelines.Methods: Six private and 18 public hospitals were included in this clinical-based retrospective study.The overall volume of cataract operations in the 24 centers in 2013 was 43,553.Main outcome measure was incidence of endophthalmitis per 1,000.An incidence of less than 0.13{\%} was considered acceptable.Results: Our study provides the first Italian data on the use of intracameral antibiotics in cataract surgery as recommended by the ESCRS.Thirteen centers (54{\%}) used intracameral cefuroxime at the end of surgery.Of the 13 centers that used cefuroxime, 8 (62{\%}) had an incidence of endophthalmitis less than 0.13{\%}.Of the 7 (29{\%}) centers that did not use intracameral cefuroxime, all had an endophthalmitis rate of greater than 0.13{\%}.This difference was statistically significant (p<0.05).Among the 4 centers not included, 2 used vancomycin in the infusion bottle, 1 a fluoroquinolone, and the last a combination of antibiotics.The majority of surgeons (71{\%}) used preoperative antibiotic eyedrops, but this measure was not shown to be significantly protective.Conclusions: Slightly more than half of the centers surveyed in this study adhered to the recommendations of the ESCRS and routinely employed prophylactic intracameral cefuroxime.An incidence of endophthalmitis greater than 0.13{\%} was encountered significantly more frequently among centers that did not employ intracameral cefuroxime.",
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AU - Scarpa, Giuseppe

AU - Ceruti, Piero

AU - Prigione, Guido

AU - Romano, Mario R.

AU - Bert, Fabrizio

AU - Gili, Renata

AU - Panico, Claudio

AU - Siliquini, Roberta

AU - Engelbert, Michael

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