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Management strategies to reduce risk of postoperative infections.降低术后感染风险的管理策略。
Curr Ophthalmol Rep. 2013 Dec;1(4). doi: 10.1007/s40135-013-0021-5.
2
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Endophthalmitis Occurring after Cataract Surgery: Outcomes of More Than 480 000 Cataract Surgeries, Epidemiologic Features, and Risk Factors.白内障手术后眼内炎:超过 48 万例白内障手术的结果、流行病学特征和危险因素。
Ophthalmology. 2016 Feb;123(2):295-301. doi: 10.1016/j.ophtha.2015.08.023. Epub 2015 Dec 15.
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Patterns of perioperative prophylaxis for cataract surgery in Canada.加拿大白内障手术围手术期预防模式。
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Efficacy and cost-effectiveness of intracameral vancomycin in reducing postoperative endophthalmitis incidence in Australia.澳大利亚前房注射万古霉素在降低术后眼内炎发生率方面的疗效和成本效益
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引用本文的文献

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Causative Microorganisms of Infectious Endophthalmitis: A 5-Year Retrospective Study.感染性眼内炎的致病微生物:一项5年回顾性研究
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Update on the prevention and treatment of endophthalmitis.眼内炎防治的最新进展
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本文引用的文献

1
Risk factors for postoperative endophthalmitis caused by Pseudomonas aeruginosa: possible role of environment.术后铜绿假单胞菌性眼内炎的危险因素:环境的可能作用。
Am J Infect Control. 2013 Dec;41(12):1287-9. doi: 10.1016/j.ajic.2013.01.042. Epub 2013 May 11.
2
Risk of endophthalmitis and other long-term complications of trabeculectomy in the Collaborative Initial Glaucoma Treatment Study (CIGTS).CIGTS(协同初始青光眼治疗研究)中小梁切除术的眼内炎和其他长期并发症风险。
Am J Ophthalmol. 2013 Apr;155(4):674-680, 680.e1. doi: 10.1016/j.ajo.2012.10.017. Epub 2012 Dec 13.
3
Six-year incidence of endophthalmitis after cataract surgery: Swedish national study.白内障手术后眼内炎的六年发生率:瑞典全国性研究。
J Cataract Refract Surg. 2013 Jan;39(1):15-21. doi: 10.1016/j.jcrs.2012.10.037.
4
Residual lens cortex material: potential risk factor for endophthalmitis after phacoemulsification cataract surgery.残余晶状体皮质材料:白内障超声乳化术后眼内炎的潜在危险因素。
J Cataract Refract Surg. 2013 Feb;39(2):250-7. doi: 10.1016/j.jcrs.2012.07.038. Epub 2012 Dec 7.
5
Decreased postoperative endophthalmitis rate after institution of intracameral antibiotics in a Northern California eye department.北加州某眼科机构施行眼内局部应用抗生素后,术后眼内炎发生率降低。
J Cataract Refract Surg. 2013 Jan;39(1):8-14. doi: 10.1016/j.jcrs.2012.07.031. Epub 2012 Oct 2.
6
Anterior chamber contamination during phacoemulsification after povidone-iodine application.
J Med Assoc Thai. 2012 May;95(5):689-92.
7
Intracameral cefuroxime injection at the end of cataract surgery to reduce the incidence of endophthalmitis: French study.白内障手术结束时眼内注射头孢呋辛以降低眼内炎的发生率:法国研究。
J Cataract Refract Surg. 2012 Aug;38(8):1370-5. doi: 10.1016/j.jcrs.2012.03.024.
8
Case control analyses of acute endophthalmitis after cataract surgery in South India associated with technique, patient care, and socioeconomic status.印度南部白内障手术后急性眼内炎与手术技术、患者护理及社会经济地位的病例对照分析。
J Ophthalmol. 2012;2012:298459. doi: 10.1155/2012/298459. Epub 2012 Feb 23.
9
Postcataract surgery endophthalmitis in the United States: analysis of the complete 2003 to 2004 Medicare database of cataract surgeries.美国白内障手术后眼内炎:对 2003 至 2004 年 Medicare 白内障手术数据库的完整分析。
Ophthalmology. 2012 May;119(5):914-22. doi: 10.1016/j.ophtha.2011.11.023. Epub 2012 Jan 31.
10
Results at seven years after the use of intracamerular cefazolin as an endophthalmitis prophylaxis in cataract surgery.白内障手术中玻璃体内应用头孢唑林作为眼内炎预防的 7 年结果。
BMC Ophthalmol. 2012 Jan 24;12:2. doi: 10.1186/1471-2415-12-2.

降低术后感染风险的管理策略。

Management strategies to reduce risk of postoperative infections.

作者信息

Galor Anat, Goldhardt Raquel, Wellik Sarah R, Gregori Ninel Z, Flynn Harry W

机构信息

Bascom Palmer Eye Institute, University of Miami, 900 NW 17 Street, Miami, FL, 33136.

出版信息

Curr Ophthalmol Rep. 2013 Dec;1(4). doi: 10.1007/s40135-013-0021-5.

DOI:10.1007/s40135-013-0021-5
PMID:24319649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3851038/
Abstract

Postoperative infections, although rare, are still of great concern to the ophthalmologist. The incidence of post-cataract endophthalmitis is low, with a range of .28 per 1,000 to 2.99 per 1000. In addition to intraoperative considerations such as poor wound construction, vitreous loss, topical anesthesia, and prolonged surgical time, other risk factors include preoperative factors such as a diseased ocular surface and systemic immunosuppression. Potential methods of reducing risk of endophthalmitis after anterior segment surgery are discussed and available literature is summarized.

摘要

术后感染虽然罕见,但仍然是眼科医生非常关注的问题。白内障术后眼内炎的发病率较低,范围为每1000例中有0.28例至2.99例。除了术中的一些因素,如伤口构建不佳、玻璃体丢失、表面麻醉和手术时间延长外,其他风险因素还包括术前因素,如患眼的眼表疾病和全身免疫抑制。本文讨论了降低眼前节手术后眼内炎风险的潜在方法,并总结了现有文献。