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Antibiotic prophylaxis for cataract surgery - Practice patterns amongst Indian Ophthalmologists
PURPOSE: To assess the current trends in use of perioperative antibiotic prophylaxis, especially intracameral antibiotics (ICAB), for cataract surgery in India. METHODS: This was an E-survey using a previously validated questionnaire carried out by the All India Ophthalmological Society (AIOS) in Au...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565941/ https://www.ncbi.nlm.nih.gov/pubmed/37602614 http://dx.doi.org/10.4103/IJO.IJO_702_23 |
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author | Kelkar, Aditya S Sharma, Namrata Verma, Lalit Chandorkar, Shraddha A Saxena, Rohit Mishra, Deepak Kelkar, Jai A Sengupta, Sabhyasachi |
author_facet | Kelkar, Aditya S Sharma, Namrata Verma, Lalit Chandorkar, Shraddha A Saxena, Rohit Mishra, Deepak Kelkar, Jai A Sengupta, Sabhyasachi |
author_sort | Kelkar, Aditya S |
collection | PubMed |
description | PURPOSE: To assess the current trends in use of perioperative antibiotic prophylaxis, especially intracameral antibiotics (ICAB), for cataract surgery in India. METHODS: This was an E-survey using a previously validated questionnaire carried out by the All India Ophthalmological Society (AIOS) in August 2022. An E-mail invitation to complete an online 40-point survey was sent to all members of the AIOS using a digital E-mail service (Survey Monkey) and social media platforms. RESULTS: Out of 1804 total respondents, 58% (n = 1022) reported using routine ICAB prophylaxis. Of those using ICAB, 89% (n = 909) reported using it for all cases, whereas the rest used it for specific indications such as post-PC rent (n = 43), one eyed patient (n = 19), and high-risk cases (n = 50). Commercially available moxifloxacin was by far the commonest agent used for ICAB (n = 686, 67%). Eighty respondents (8%) reported noticing occasional toxic reactions and nontoxic corneal edema (n = 64, 6%) with ICAB. Surgeons with >10 years’ experience especially practicing in medical colleges used fewer ICAB (OR = 0.52, 95%CI = 0.38 – 0.72, P < 0,001) compared to younger surgeons (<5-year experience) in solo clinics. The commonest reason for nonadoption of IC antibiotics was “unconvinced of the need to use it in my setting” (n = 296, 52% of those who answered this question). CONCLUSION: IC antibiotic prophylaxis for cataract surgery has significantly increased in India from 40% in 2017 to 58% in 2022. Commercially available moxifloxacin was preferred by the majority users. Intraocular inflammation may occur occasionally and needs safer formulations to avoid this. |
format | Online Article Text |
id | pubmed-10565941 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-105659412023-10-12 Antibiotic prophylaxis for cataract surgery - Practice patterns amongst Indian Ophthalmologists Kelkar, Aditya S Sharma, Namrata Verma, Lalit Chandorkar, Shraddha A Saxena, Rohit Mishra, Deepak Kelkar, Jai A Sengupta, Sabhyasachi Indian J Ophthalmol Original Article PURPOSE: To assess the current trends in use of perioperative antibiotic prophylaxis, especially intracameral antibiotics (ICAB), for cataract surgery in India. METHODS: This was an E-survey using a previously validated questionnaire carried out by the All India Ophthalmological Society (AIOS) in August 2022. An E-mail invitation to complete an online 40-point survey was sent to all members of the AIOS using a digital E-mail service (Survey Monkey) and social media platforms. RESULTS: Out of 1804 total respondents, 58% (n = 1022) reported using routine ICAB prophylaxis. Of those using ICAB, 89% (n = 909) reported using it for all cases, whereas the rest used it for specific indications such as post-PC rent (n = 43), one eyed patient (n = 19), and high-risk cases (n = 50). Commercially available moxifloxacin was by far the commonest agent used for ICAB (n = 686, 67%). Eighty respondents (8%) reported noticing occasional toxic reactions and nontoxic corneal edema (n = 64, 6%) with ICAB. Surgeons with >10 years’ experience especially practicing in medical colleges used fewer ICAB (OR = 0.52, 95%CI = 0.38 – 0.72, P < 0,001) compared to younger surgeons (<5-year experience) in solo clinics. The commonest reason for nonadoption of IC antibiotics was “unconvinced of the need to use it in my setting” (n = 296, 52% of those who answered this question). CONCLUSION: IC antibiotic prophylaxis for cataract surgery has significantly increased in India from 40% in 2017 to 58% in 2022. Commercially available moxifloxacin was preferred by the majority users. Intraocular inflammation may occur occasionally and needs safer formulations to avoid this. Wolters Kluwer - Medknow 2023-09 2023-08-21 /pmc/articles/PMC10565941/ /pubmed/37602614 http://dx.doi.org/10.4103/IJO.IJO_702_23 Text en Copyright: © 2023 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Kelkar, Aditya S Sharma, Namrata Verma, Lalit Chandorkar, Shraddha A Saxena, Rohit Mishra, Deepak Kelkar, Jai A Sengupta, Sabhyasachi Antibiotic prophylaxis for cataract surgery - Practice patterns amongst Indian Ophthalmologists |
title | Antibiotic prophylaxis for cataract surgery - Practice patterns amongst Indian Ophthalmologists |
title_full | Antibiotic prophylaxis for cataract surgery - Practice patterns amongst Indian Ophthalmologists |
title_fullStr | Antibiotic prophylaxis for cataract surgery - Practice patterns amongst Indian Ophthalmologists |
title_full_unstemmed | Antibiotic prophylaxis for cataract surgery - Practice patterns amongst Indian Ophthalmologists |
title_short | Antibiotic prophylaxis for cataract surgery - Practice patterns amongst Indian Ophthalmologists |
title_sort | antibiotic prophylaxis for cataract surgery - practice patterns amongst indian ophthalmologists |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565941/ https://www.ncbi.nlm.nih.gov/pubmed/37602614 http://dx.doi.org/10.4103/IJO.IJO_702_23 |
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