Antibiotic prophylaxis: different practice patterns within and outside the United States

Stephen G Schwartz,1 Andrzej Grzybowski,2 Harry W Flynn Jr1 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; 2Department of Ophthalmology, Poznan City Hospital, Poznan, Poland Abstract: Endophthalmitis remains a rare but impo...

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Autores principales:	Schwartz SG, Grzybowski A, Flynn HW Jr
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Cataract surgery Endophthalmitis Intracameral antibiotic Intravitreal injection Prophylaxis Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0dd8f623bbbf4322b00f6aad4b80e4be
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spelling	oai:doaj.org-article:0dd8f623bbbf4322b00f6aad4b80e4be2021-12-02T07:20:10ZAntibiotic prophylaxis: different practice patterns within and outside the United States1177-5483https://doaj.org/article/0dd8f623bbbf4322b00f6aad4b80e4be2016-01-01T00:00:00Zhttps://www.dovepress.com/antibiotic-prophylaxis-different-practice-patterns-within-and-outside--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Stephen G Schwartz,1 Andrzej Grzybowski,2 Harry W Flynn Jr1 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; 2Department of Ophthalmology, Poznan City Hospital, Poznan, Poland Abstract: Endophthalmitis remains a rare but important cause of visual loss. Prophylaxis strategies are important to reduce rates of endophthalmitis after cataract surgery, intravitreal injection, and other procedures. There is substantial variability between the US and the rest of the world. During cataract surgery, intracameral antibiotics are commonly used in many nations, especially in Europe, but are less commonly used in the US. A randomized clinical trial from the European Society of Cataract and Refractive Surgeons reported an approximately fivefold reduction in endophthalmitis rates associated with intracameral cefuroxime but these results are controversial. There are no randomized clinical trials regarding endophthalmitis associated with intravitreal injection. Topical antibiotics are commonly used in many nations, but are less commonly used in the US. At this time, there is no global consensus and it appears unlikely that additional major clinical trials will conclusively define the optimal endophthalmitis prophylaxis techniques. Keywords: cataract surgery, endophthalmitis, intracameral antibiotic, intravitreal injection, prophylaxisSchwartz SGGrzybowski AFlynn HW JrDove Medical PressarticleCataract surgeryEndophthalmitisIntracameral antibioticIntravitreal injectionProphylaxisOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 251-256 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cataract surgery Endophthalmitis Intracameral antibiotic Intravitreal injection Prophylaxis Ophthalmology RE1-994
spellingShingle	Cataract surgery Endophthalmitis Intracameral antibiotic Intravitreal injection Prophylaxis Ophthalmology RE1-994 Schwartz SG Grzybowski A Flynn HW Jr Antibiotic prophylaxis: different practice patterns within and outside the United States
description	Stephen G Schwartz,1 Andrzej Grzybowski,2 Harry W Flynn Jr1 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; 2Department of Ophthalmology, Poznan City Hospital, Poznan, Poland Abstract: Endophthalmitis remains a rare but important cause of visual loss. Prophylaxis strategies are important to reduce rates of endophthalmitis after cataract surgery, intravitreal injection, and other procedures. There is substantial variability between the US and the rest of the world. During cataract surgery, intracameral antibiotics are commonly used in many nations, especially in Europe, but are less commonly used in the US. A randomized clinical trial from the European Society of Cataract and Refractive Surgeons reported an approximately fivefold reduction in endophthalmitis rates associated with intracameral cefuroxime but these results are controversial. There are no randomized clinical trials regarding endophthalmitis associated with intravitreal injection. Topical antibiotics are commonly used in many nations, but are less commonly used in the US. At this time, there is no global consensus and it appears unlikely that additional major clinical trials will conclusively define the optimal endophthalmitis prophylaxis techniques. Keywords: cataract surgery, endophthalmitis, intracameral antibiotic, intravitreal injection, prophylaxis
format	article
author	Schwartz SG Grzybowski A Flynn HW Jr
author_facet	Schwartz SG Grzybowski A Flynn HW Jr
author_sort	Schwartz SG
title	Antibiotic prophylaxis: different practice patterns within and outside the United States
title_short	Antibiotic prophylaxis: different practice patterns within and outside the United States
title_full	Antibiotic prophylaxis: different practice patterns within and outside the United States
title_fullStr	Antibiotic prophylaxis: different practice patterns within and outside the United States
title_full_unstemmed	Antibiotic prophylaxis: different practice patterns within and outside the United States
title_sort	antibiotic prophylaxis: different practice patterns within and outside the united states
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/0dd8f623bbbf4322b00f6aad4b80e4be
work_keys_str_mv	AT schwartzsg antibioticprophylaxisdifferentpracticepatternswithinandoutsidetheunitedstates AT grzybowskia antibioticprophylaxisdifferentpracticepatternswithinandoutsidetheunitedstates AT flynnhwjr antibioticprophylaxisdifferentpracticepatternswithinandoutsidetheunitedstates
_version_	1718399441253171200

Antibiotic prophylaxis: different practice patterns within and outside the United States

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