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Bacteremia during dacryocystorhinostomy: results of intra-operative blood cultures
BACKGROUND: The aims of the study are to assess the prevalence of bacteremia during dacryocystorhinostomy (DCR) and to assess whether there is a need for post-operative prophylaxis. Prospective interventional study of 52 consecutive dacryocystorhinostomy performed in 50 patients over a period of 1 y...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4189605/ https://www.ncbi.nlm.nih.gov/pubmed/25320650 http://dx.doi.org/10.1186/s12348-014-0027-7 |
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author | Ali, Mohammad Javed Ayyar, Anuradha Motukupally, Swapna R Sharma, Savitri Naik, Milind N |
author_facet | Ali, Mohammad Javed Ayyar, Anuradha Motukupally, Swapna R Sharma, Savitri Naik, Milind N |
author_sort | Ali, Mohammad Javed |
collection | PubMed |
description | BACKGROUND: The aims of the study are to assess the prevalence of bacteremia during dacryocystorhinostomy (DCR) and to assess whether there is a need for post-operative prophylaxis. Prospective interventional study of 52 consecutive dacryocystorhinostomy performed in 50 patients over a period of 1 year from 2013 to 2014. Blood was drawn under strict aseptic conditions during two separate time points: fashioning of the nasal mucosal and creation of lacrimal sac flaps. The blood was inoculated into two blood culture bottles: the dual media as well as Columbia broth. Following withdrawal of blood, all patients received an intraoperative single dose of a cephalosporin antibiotic. Clean cases of primary acquired nasolacrimal duct obstructions (PANDO) without any sac discharge upon marsupialization (22%, 11/50) were not prescribed routine post-operative prophylaxis, whereas the remaining were prescribed oral antibiotics for 5 days. RESULTS: The mean age of patients was 41 years (range, 4–61 years). The most common diagnosis (70%, 35/50) was primary acquired nasolacrimal duct obstruction. Acute dacryocystitis was noted in 12% (6/50). External DCR was performed in 65% (34/52) and endoscopic DCR in 35% (18/52) of the cases. All the blood cultures were uniformly negative both in terms of abnormal physical changes in media as well subcultures; 22% (11/50) did not receive post-operative antibiotic prophylaxis. None of the patients developed any signs of wound infections. The anatomical and functional success rate was achieved in 98%. CONCLUSIONS: This study did not find any intraoperative bacteremia during dacryocystorhinostomy and that none had wound infection irrespective of post-operative prophylaxis. |
format | Online Article Text |
id | pubmed-4189605 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Springer |
record_format | MEDLINE/PubMed |
spelling | pubmed-41896052014-10-15 Bacteremia during dacryocystorhinostomy: results of intra-operative blood cultures Ali, Mohammad Javed Ayyar, Anuradha Motukupally, Swapna R Sharma, Savitri Naik, Milind N J Ophthalmic Inflamm Infect Original Research BACKGROUND: The aims of the study are to assess the prevalence of bacteremia during dacryocystorhinostomy (DCR) and to assess whether there is a need for post-operative prophylaxis. Prospective interventional study of 52 consecutive dacryocystorhinostomy performed in 50 patients over a period of 1 year from 2013 to 2014. Blood was drawn under strict aseptic conditions during two separate time points: fashioning of the nasal mucosal and creation of lacrimal sac flaps. The blood was inoculated into two blood culture bottles: the dual media as well as Columbia broth. Following withdrawal of blood, all patients received an intraoperative single dose of a cephalosporin antibiotic. Clean cases of primary acquired nasolacrimal duct obstructions (PANDO) without any sac discharge upon marsupialization (22%, 11/50) were not prescribed routine post-operative prophylaxis, whereas the remaining were prescribed oral antibiotics for 5 days. RESULTS: The mean age of patients was 41 years (range, 4–61 years). The most common diagnosis (70%, 35/50) was primary acquired nasolacrimal duct obstruction. Acute dacryocystitis was noted in 12% (6/50). External DCR was performed in 65% (34/52) and endoscopic DCR in 35% (18/52) of the cases. All the blood cultures were uniformly negative both in terms of abnormal physical changes in media as well subcultures; 22% (11/50) did not receive post-operative antibiotic prophylaxis. None of the patients developed any signs of wound infections. The anatomical and functional success rate was achieved in 98%. CONCLUSIONS: This study did not find any intraoperative bacteremia during dacryocystorhinostomy and that none had wound infection irrespective of post-operative prophylaxis. Springer 2014-10-09 /pmc/articles/PMC4189605/ /pubmed/25320650 http://dx.doi.org/10.1186/s12348-014-0027-7 Text en Copyright © 2014 Ali et al.; licensee Springer. http://creativecommons.org/licenses/by/4.0 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. |
spellingShingle | Original Research Ali, Mohammad Javed Ayyar, Anuradha Motukupally, Swapna R Sharma, Savitri Naik, Milind N Bacteremia during dacryocystorhinostomy: results of intra-operative blood cultures |
title | Bacteremia during dacryocystorhinostomy: results of intra-operative blood cultures |
title_full | Bacteremia during dacryocystorhinostomy: results of intra-operative blood cultures |
title_fullStr | Bacteremia during dacryocystorhinostomy: results of intra-operative blood cultures |
title_full_unstemmed | Bacteremia during dacryocystorhinostomy: results of intra-operative blood cultures |
title_short | Bacteremia during dacryocystorhinostomy: results of intra-operative blood cultures |
title_sort | bacteremia during dacryocystorhinostomy: results of intra-operative blood cultures |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4189605/ https://www.ncbi.nlm.nih.gov/pubmed/25320650 http://dx.doi.org/10.1186/s12348-014-0027-7 |
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