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

BMC Infectious Diseases

Research Article

Eun-Kee Park¹  Woo Jin Jeung²  In Young Chung³  Yong Seop Han³  Jong Moon Park³  Joo Eun Lee⁴  Il Han Yun⁴  Hyun Wong Kim⁴  Ki Yup Nam⁵  Sang Joon Lee⁵  Ik Soo Byon⁶  Ji Eun Lee⁶  Jung Min Park⁷  Byeng Chul Yu⁸  Boo Sup Oum⁹  Hu-Jang Lee^1,10  Dong Park^1,11  Hee Sung Yoon^1,12 

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

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

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

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

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

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

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

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

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

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

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

[12]Sungmo Eye Hospital, Busan, South Korea

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

DOI  :  10.1186/s12879-015-0900-5

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

来源: Springer

【 摘 要 】

BackgroundTo investigate clinical features of infectious endophthalmitis over five years in a South Korean population.MethodsMedical 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.ResultsA 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.ConclusionsOur 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】

Unknown   
© Nam et al.; licensee BioMed Central. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.