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 language | English |
|---|---|
| Pages (from-to) | 398-404 |
| Number of pages | 7 |
| Journal | European Journal of Ophthalmology |
| Volume | 26 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Sep 1 2016 |
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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 journal › Article
}
TY - JOUR
T1 - Adherence to European Society for Cataract and Refractive Surgery recommendations among italian cataract surgeons
T2 - A survey
AU - Grosso, Andrea
AU - Pertile, Grazia
AU - Marchini, Giorgio
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
PY - 2016/9/1
Y1 - 2016/9/1
N2 - 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.
AB - 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.
KW - Cataract surgery
KW - Endophthalmitis
KW - Prophylaxis
KW - Survey
UR - http://www.scopus.com/inward/record.url?scp=84984893101&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84984893101&partnerID=8YFLogxK
U2 - 10.5301/ejo.5000738
DO - 10.5301/ejo.5000738
M3 - Article
AN - SCOPUS:84984893101
VL - 26
SP - 398
EP - 404
JO - European Journal of Ophthalmology
JF - European Journal of Ophthalmology
SN - 1120-6721
IS - 5
ER -