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Endophthalmitis prophylaxis in cataract surgery: Overview of current practice patterns in 9 European countries
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Oftalmiatrik.
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2013 (engelsk)Inngår i: Journal of cataract and refractive surgery, ISSN 0886-3350, E-ISSN 1873-4502, Vol. 39, nr 9, s. 1421-1431Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

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.

sted, utgiver, år, opplag, sider
2013. Vol. 39, nr 9, s. 1421-1431
HSV kategori
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URN: urn:nbn:se:umu:diva-81312DOI: 10.1016/j.jcrs.2013.06.014ISI: 000324014300020OAI: oai:DiVA.org:umu-81312DiVA, id: diva2:656037
Tilgjengelig fra: 2013-10-14 Laget: 2013-10-07 Sist oppdatert: 2018-06-08bibliografisk kontrollert

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