Outbreak of postoperative endophthalmitis caused by : a case report and brief literature review

Endophthalmitis is the most serious complication of cataract surgery. A cluster of endophthalmitis is a devastating event for surgeons. Pseudomonas aeruginosa is the main causative pathogen of Gram-negative endophthalmitis, which can be suggestive of the occurrence of an outbreak. Ten patients diagn...

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Autores principales:	Kasra Cheraqpour, Aliasghar Ahmadraji, Seyed Ali Tabatabaei, Bahram Bohrani Sefidan, Mohammad Soleimani, Mansoor Shahriari, Bahareh Ramezani
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/6dbfbc517cdf4916bc629515368392c4
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spelling	oai:doaj.org-article:6dbfbc517cdf4916bc629515368392c42021-12-02T08:05:06ZOutbreak of postoperative endophthalmitis caused by : a case report and brief literature review1473-230010.1177/03000605211055394https://doaj.org/article/6dbfbc517cdf4916bc629515368392c42021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211055394https://doaj.org/toc/1473-2300Endophthalmitis is the most serious complication of cataract surgery. A cluster of endophthalmitis is a devastating event for surgeons. Pseudomonas aeruginosa is the main causative pathogen of Gram-negative endophthalmitis, which can be suggestive of the occurrence of an outbreak. Ten patients diagnosed with endophthalmitis after cataract surgery performed by one surgeon were analyzed in this study. At presentation, five patients had obvious clinical findings of endophthalmitis with visual acuity of light perception, two patients had poor light perception/no light perception of vision complicated by concomitant keratitis, and three patients had earlier signs of infection (e.g., a lower degree of anterior chamber and vitreous cells, better presenting visual acuity, and greater visibility of the fundus). Investigations revealed that the source of infection was growth of P. aeruginosa on the phaco probe. All of the surgeries had been performed by the same contaminated probe without sterilization between surgeries. This finding emphasizes the importance of strict adherence to sterility protocols during high-risk surgeries such as intraocular surgeries. Additionally, this report aims to emphasize to surgeons that negligence of simple but vital steps of sterility for any reason, such as limitations in time or equipment, can lead to catastrophic events.Kasra CheraqpourAliasghar AhmadrajiSeyed Ali TabatabaeiBahram Bohrani SefidanMohammad SoleimaniMansoor ShahriariBahareh RamezaniSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Kasra Cheraqpour Aliasghar Ahmadraji Seyed Ali Tabatabaei Bahram Bohrani Sefidan Mohammad Soleimani Mansoor Shahriari Bahareh Ramezani Outbreak of postoperative endophthalmitis caused by : a case report and brief literature review
description	Endophthalmitis is the most serious complication of cataract surgery. A cluster of endophthalmitis is a devastating event for surgeons. Pseudomonas aeruginosa is the main causative pathogen of Gram-negative endophthalmitis, which can be suggestive of the occurrence of an outbreak. Ten patients diagnosed with endophthalmitis after cataract surgery performed by one surgeon were analyzed in this study. At presentation, five patients had obvious clinical findings of endophthalmitis with visual acuity of light perception, two patients had poor light perception/no light perception of vision complicated by concomitant keratitis, and three patients had earlier signs of infection (e.g., a lower degree of anterior chamber and vitreous cells, better presenting visual acuity, and greater visibility of the fundus). Investigations revealed that the source of infection was growth of P. aeruginosa on the phaco probe. All of the surgeries had been performed by the same contaminated probe without sterilization between surgeries. This finding emphasizes the importance of strict adherence to sterility protocols during high-risk surgeries such as intraocular surgeries. Additionally, this report aims to emphasize to surgeons that negligence of simple but vital steps of sterility for any reason, such as limitations in time or equipment, can lead to catastrophic events.
format	article
author	Kasra Cheraqpour Aliasghar Ahmadraji Seyed Ali Tabatabaei Bahram Bohrani Sefidan Mohammad Soleimani Mansoor Shahriari Bahareh Ramezani
author_facet	Kasra Cheraqpour Aliasghar Ahmadraji Seyed Ali Tabatabaei Bahram Bohrani Sefidan Mohammad Soleimani Mansoor Shahriari Bahareh Ramezani
author_sort	Kasra Cheraqpour
title	Outbreak of postoperative endophthalmitis caused by : a case report and brief literature review
title_short	Outbreak of postoperative endophthalmitis caused by : a case report and brief literature review
title_full	Outbreak of postoperative endophthalmitis caused by : a case report and brief literature review
title_fullStr	Outbreak of postoperative endophthalmitis caused by : a case report and brief literature review
title_full_unstemmed	Outbreak of postoperative endophthalmitis caused by : a case report and brief literature review
title_sort	outbreak of postoperative endophthalmitis caused by : a case report and brief literature review
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/6dbfbc517cdf4916bc629515368392c4
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Outbreak of postoperative endophthalmitis caused by : a case report and brief literature review

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