Incidence of endophthalmitis after cataract surgery (2002-2008) at a Brazilian university-hospital

Arquivos Brasileiros de Oftalmologia

Gustavo Barreto Melo²  Paulo José Martins Bispo¹  Caio Vinícius Saito Regatieri²  Maria Cecília Zorat Yu¹  Antônio Carlos Campos Pignatari¹  Ana Luisa Höfling-lima² 

[1] ,Universidade Federal de São Paulo Department of Ophthalmology São Paulo SP ,Brazil

关键词: Endophthalmitis;    Endophthalmitis;    Endophthalmitis;    Endophthalmitis;    Cataract extraction;    Endoftalmite;    Endoftamite;    Endoftalmite;    Endoftalmite;    Extração de catarata;   

DOI  :  10.1590/S0004-27492010000600007

来源: SciELO

【 摘 要 】

Purpose: To report on the incidence, diagnostic technique, and microbiological features of endophthalmitis at a university-setting in Brazil. Methods: All cases of presumed postoperative endophthalmitis from 2002 to 2008 at a teaching-hospital were included. Main data assessed were: number of cataract surgeries performed, incidence of endophthalmitis, microbiological outcome (aqueous and/or vitreous culture and Gram staining), and antimicrobial susceptibility testing of the positive cases. Results: Seventy-three eyes of 73 patients (43 females and 30 males) developed endophthalmitis after 24,590 cataract surgeries. The incidence decreased from 0.49% in 2003 to 0.17% in 2006 and stabilized afterwards. Coagulase negative Staphylococci (CoNS) and Streptococcus viridans (56.5% and 15%, respectively) were the most common bacterial isolates. Culture and Gram stain were negative in 36.9%. CoNS presented susceptibility rates of 80%-sensitivity to oxacillin, 90% to fourth-generation quinolones and 100% to vancomycin. Conclusions: The rate of endophthalmitis, diagnostic ability of conventional laboratory investigation, microbial isolates and antibiotic susceptibility are in accordance with other findings of the literature. Despite using prophylactic antibiotic drops, it was possible to identify cases that were susceptible to the antibiotics topically applied.

【 授权许可】

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