Clinical features of infectious endophthalmitis in South Korea: a five-year multicenter study

BMC Infectious Diseases

Sang Joon Lee⁹  Hu-Jang Lee¹  Eun-Kee Park^1,10  Byeng Chul Yu⁷  Dong Park^1,11  Hee Sung Yoon³  Boo Sup Oum⁴  Ik Soo Byon^1,12  Hyun Wong Kim²  Il Han Yun²  Yong Seop Han⁸  In Young Chung⁸  Jong Moon Park⁸  Jung Min Park⁵  Woo Jin Jeung⁶  Ji Eun Lee^1,12  Joo Eun Lee²  Ki Yup Nam⁹ 

[1]Research Institute of Life Sciences, College of Veterinary Medicine, Gyeongsang National University, Jinju, South Korea

[2]Department of Ophthalmology, College of Medicine, Inje University, Pusan, South Korea

[3]Sungmo Eye Hospital, Busan, South Korea

[4]Jung Geun Eye Hospital, Busan, South Korea

[5]Department of Ophthalmology, Maryknoll Hospital, Busan, South Korea

[6]Department of Ophthalmology, College of Medicine, Dong-A University College of Medicine, Busan, South Korea

[7]Department of Preventive Medicine, College of Medicine, Kosin University, Pusan, South Korea

[8]Department of Ophthalmology, College of Medicine, Gyeongsang National University, Jinju, South Korea

[9]Department of Ophthalmology, College of Medicine, Kosin University, 262 Gamchun-ro, Seo-gu, Busan, South Korea

[10]Department of Medical Humanities and Social Medicine, Kosin University, Pusan, South Korea

[11]Su Jeong Eye Clinic, Busan, South Korea

[12]Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, South Korea

关键词: Infection;    Endogenous;    Posttraumatic;    Postoperative;    Endophthalmitis;   

Others  :  1172453
DOI  :  10.1186/s12879-015-0900-5

 received in 2014-07-30, accepted in 2015-03-13,  发布年份 2015

【 摘 要 】

Background

To investigate clinical features of infectious endophthalmitis over five years in a South Korean population.

Methods

Medical records of consecutive patients diagnosed with infectious endophthalmitis at eight institutions located in Gyeongsangnam-do and Pusan city between January 1, 2004 and July 31, 2010 were reviewed.

Results

A total of 197 patients were diagnosed and treated. An average of 30.0 infectious endophthalmitis per year was developed. The annual incidence rate of postoperative endophthalmitis during 2006 ~ 2009 was 0.037%. The ratios of male to female and right to left were 50.2%: 49.8 % and 54.8%: 43.2%, respectively. Eighth decade and spring were the peak age (36.6%) and season (32.0%) to develop the infectious endophthalmitis. The most common past history in systemic disease was hypertension (40.4%), followed by diabetes (23.4%). Cataract operation (60.4%) was the most common cause, among which most of them was uneventful phacoemulsification (95.9%). Corneal laceration (51.6%) and liver abscess (42.9%) were the most common causes of traumatic and endogenous endophthalmitis, respectively. The percentages of patients with initial and final visual acuity less than counting fingers were 62.6% and 35.2%, respectively. Treatment with vitrectomy with or without intravitreal antibiotics injection was administered to 72.6% of patients, while 17.3% received intravitreal antibiotics only.

Conclusions

Our study revealed that the development of infectious endophthalmitis was related with seasonal variation and increased during our study period. Pars plana vitrectomy was preferred for the treatment of infectious endophthalmitis in South Korea.

【 授权许可】

   
2015 Nam et al.; licensee BioMed Central.

【 图 表 】

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