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关于开放性眼球损伤患者预防性使用抗生素的知识:伊朗眼科医生的一项调查

Knowledge about Prescribing Antibiotics as Prophylaxis in Patients with Open Globe Injury: A Survey in Iranian Ophthalmologists.

作者信息

Shahriari Mansoor, Mohammad Mohammad, Foruzani Haghighi Maryam, Mohammadnezhad Ghader, Esmaily Hadi

机构信息

Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Clinical Pharmacy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Bull Emerg Trauma. 2023;11(2):96-101. doi: 10.30476/BEAT.2023.98269.1425.

DOI:10.30476/BEAT.2023.98269.1425
PMID:37193012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10182719/
Abstract

OBJECTIVE

This study aimed to evaluate the Iranian ophthalmologists' knowledge of prescribing prophylactic antibiotics to patients with open globe injury (OGI) in Iran.

METHODS

In this cross-sectional study, we utilized a questionnaire to evaluate the ophthalmologists' knowledge about prescribing antibiotics as prophylaxis. This survey was conducted in Tehran and its suburbs. The questionnaire included demographic information as well as ophthalmologists' knowledge levels. Cronbach's alpha was used to determine its validity and reliability. The obtained data were analyzed using SPSS 24.0.

RESULTS

Of 192 subjects, 111 (35 women, 76 men) were included. About 65 (58.6%) specialists and 45 (41.4%) subspecialists with different orientations completed the questionnaires. The total knowledge score was 13.04±2.96. The following are the results of ophthalmologists' responses to questions regarding the cornea/scleral injury (1.09±1.72), prophylactic antibiotics administration (2.79±1.11), the infectious agents in eye surgeries (3.21±1.49), diagnosis and treatment (2.84±0.944), and the effects of ocular antibiotics as well as their proper dosage (2.96±2.35). There was no significant relationship between some demographic information such as sex, working hours, workplace, and the number of studied articles (0.05). In addition, ophthalmologists with less work experience had significantly higher levels of knowledge than those with more work experience.

CONCLUSION

The findings indicated that the majority of ophthalmologists had a basic knowledge of prescribing prophylactic antibiotics in OGI.

摘要

目的

本研究旨在评估伊朗眼科医生对为开放性眼球损伤(OGI)患者开具预防性抗生素的知识掌握情况。

方法

在这项横断面研究中,我们使用问卷调查来评估眼科医生关于开具抗生素作为预防措施的知识。该调查在德黑兰及其郊区进行。问卷包括人口统计学信息以及眼科医生的知识水平。使用克朗巴哈系数来确定其有效性和可靠性。所获数据使用SPSS 24.0进行分析。

结果

192名受试者中,纳入了111名(35名女性,76名男性)。约65名(58.6%)不同方向的专科医生和45名(41.4%)亚专科医生完成了问卷。总知识得分是13.04±2.96。以下是眼科医生对关于角膜/巩膜损伤(1.09±1.72)、预防性抗生素给药(2.79±1.11)、眼科手术中的感染病原体(3.21±1.49)、诊断和治疗(2.84±0.944)以及眼部抗生素的作用及其适当剂量(2.96±2.35)问题的回答结果。性别、工作时长、工作场所和所研究文章数量等一些人口统计学信息之间没有显著关系(P>0.05)。此外,工作经验较少的眼科医生的知识水平明显高于工作经验较多的医生。

结论

研究结果表明,大多数眼科医生对为OGI患者开具预防性抗生素有基本的知识掌握。

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Knowledge about Prescribing Antibiotics as Prophylaxis in Patients with Open Globe Injury: A Survey in Iranian Ophthalmologists.关于开放性眼球损伤患者预防性使用抗生素的知识:伊朗眼科医生的一项调查
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本文引用的文献

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Mismatch of corneal specialists' expectations and keratoconus knowledge in general ophthalmologists - a prospective observational study in Switzerland.角膜专家与普通眼科医生对圆锥角膜的认识存在差异 - 瑞士的一项前瞻性观察研究。
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Overprescribing of antibiotics by UK ophthalmologists.英国眼科医生抗生素的过度处方
Eye (Lond). 2018 Feb;32(2):240-242. doi: 10.1038/eye.2017.191. Epub 2017 Sep 8.
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What is antimicrobial stewardship?什么是抗菌药物管理?
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Prophylactic intravitreal antibiotics reduce the risk of post-traumatic endophthalmitis after repair of open globe injuries.预防性玻璃体内抗生素可降低开放性眼球损伤修复后眼内炎的风险。
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Use of Intravenous Vancomycin and Cefepime in Preventing Endophthalmitis After Open Globe Injury.静脉注射万古霉素和头孢吡肟在预防开放性眼球损伤后眼内炎中的应用。
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