Cargando…

A literature review and update on the incidence and microbiology spectrum of postcataract surgery endophthalmitis over past two decades in India

PURPOSE: The purpose of this study was to review the incidence and microbiology of acute postcataract surgery endophthalmitis in India. METHODS: Systematic review of English-language PubMed referenced articles on endophthalmitis in India published in the past 21 years (January 1992–December 2012), a...

Descripción completa

Detalles Bibliográficos
Autores principales: Lalitha, Prajna, Sengupta, Sabyasachi, Ravindran, Ravilla D, Sharma, Savitri, Joseph, Joveeta, Ambiya, Vikas, Das, Taraprasad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5598176/
https://www.ncbi.nlm.nih.gov/pubmed/28820151
http://dx.doi.org/10.4103/ijo.IJO_509_17
_version_ 1783263849543106560
author Lalitha, Prajna
Sengupta, Sabyasachi
Ravindran, Ravilla D
Sharma, Savitri
Joseph, Joveeta
Ambiya, Vikas
Das, Taraprasad
author_facet Lalitha, Prajna
Sengupta, Sabyasachi
Ravindran, Ravilla D
Sharma, Savitri
Joseph, Joveeta
Ambiya, Vikas
Das, Taraprasad
author_sort Lalitha, Prajna
collection PubMed
description PURPOSE: The purpose of this study was to review the incidence and microbiology of acute postcataract surgery endophthalmitis in India. METHODS: Systematic review of English-language PubMed referenced articles on endophthalmitis in India published in the past 21 years (January 1992–December 2012), and retrospective chart review of 2 major eye care facilities in India in the past 5 years (January 2010–December 2014) were done. The incidence data were collected from articles that described “in-house” endophthalmitis and the microbiology data were collected from all articles. Both incidence and microbiological data of endophthalmitis were collected from two large eye care facilities. Case reports were excluded, except for the articles on cluster infection. RESULTS: Six of 99 published articles reported the incidence of “in-house” acute postcataract surgery endophthalmitis, 8 articles reported the microbiology spectrum, and 11 articles described cluster infection. The clinical endophthalmitis incidence was between 0.04% and 0.15%. In two large eye care facilities, the clinical endophthalmitis incidence was 0.08% and 0.16%; the culture proven endophthalmitis was 0.02% and 0.08%. Gram-positive cocci (44%-64.8%; commonly, Staphylococcus species), and Gram-negative bacilli (26.2%–43%; commonly Pseudomonas species) were common bacteria in south India. Fungi (16.7%-70%; commonly Aspergillus flavus) were the common organisms in north India. Pseudomonas aeruginosa (73.3%) was the major organism in cluster infections. CONCLUSIONS: The incidence of postcataract surgery clinical endophthalmitis in India is nearly similar to the world literature. There is a regional difference in microbiological spectrum. A registry with regular and uniform national reporting will help formulate region specific management guidelines.
format Online
Article
Text
id pubmed-5598176
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-55981762017-09-21 A literature review and update on the incidence and microbiology spectrum of postcataract surgery endophthalmitis over past two decades in India Lalitha, Prajna Sengupta, Sabyasachi Ravindran, Ravilla D Sharma, Savitri Joseph, Joveeta Ambiya, Vikas Das, Taraprasad Indian J Ophthalmol Review Article PURPOSE: The purpose of this study was to review the incidence and microbiology of acute postcataract surgery endophthalmitis in India. METHODS: Systematic review of English-language PubMed referenced articles on endophthalmitis in India published in the past 21 years (January 1992–December 2012), and retrospective chart review of 2 major eye care facilities in India in the past 5 years (January 2010–December 2014) were done. The incidence data were collected from articles that described “in-house” endophthalmitis and the microbiology data were collected from all articles. Both incidence and microbiological data of endophthalmitis were collected from two large eye care facilities. Case reports were excluded, except for the articles on cluster infection. RESULTS: Six of 99 published articles reported the incidence of “in-house” acute postcataract surgery endophthalmitis, 8 articles reported the microbiology spectrum, and 11 articles described cluster infection. The clinical endophthalmitis incidence was between 0.04% and 0.15%. In two large eye care facilities, the clinical endophthalmitis incidence was 0.08% and 0.16%; the culture proven endophthalmitis was 0.02% and 0.08%. Gram-positive cocci (44%-64.8%; commonly, Staphylococcus species), and Gram-negative bacilli (26.2%–43%; commonly Pseudomonas species) were common bacteria in south India. Fungi (16.7%-70%; commonly Aspergillus flavus) were the common organisms in north India. Pseudomonas aeruginosa (73.3%) was the major organism in cluster infections. CONCLUSIONS: The incidence of postcataract surgery clinical endophthalmitis in India is nearly similar to the world literature. There is a regional difference in microbiological spectrum. A registry with regular and uniform national reporting will help formulate region specific management guidelines. Medknow Publications & Media Pvt Ltd 2017-08 /pmc/articles/PMC5598176/ /pubmed/28820151 http://dx.doi.org/10.4103/ijo.IJO_509_17 Text en Copyright: © 2017 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Review Article
Lalitha, Prajna
Sengupta, Sabyasachi
Ravindran, Ravilla D
Sharma, Savitri
Joseph, Joveeta
Ambiya, Vikas
Das, Taraprasad
A literature review and update on the incidence and microbiology spectrum of postcataract surgery endophthalmitis over past two decades in India
title A literature review and update on the incidence and microbiology spectrum of postcataract surgery endophthalmitis over past two decades in India
title_full A literature review and update on the incidence and microbiology spectrum of postcataract surgery endophthalmitis over past two decades in India
title_fullStr A literature review and update on the incidence and microbiology spectrum of postcataract surgery endophthalmitis over past two decades in India
title_full_unstemmed A literature review and update on the incidence and microbiology spectrum of postcataract surgery endophthalmitis over past two decades in India
title_short A literature review and update on the incidence and microbiology spectrum of postcataract surgery endophthalmitis over past two decades in India
title_sort literature review and update on the incidence and microbiology spectrum of postcataract surgery endophthalmitis over past two decades in india
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5598176/
https://www.ncbi.nlm.nih.gov/pubmed/28820151
http://dx.doi.org/10.4103/ijo.IJO_509_17
work_keys_str_mv AT lalithaprajna aliteraturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT senguptasabyasachi aliteraturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT ravindranravillad aliteraturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT sharmasavitri aliteraturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT josephjoveeta aliteraturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT ambiyavikas aliteraturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT dastaraprasad aliteraturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT lalithaprajna literaturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT senguptasabyasachi literaturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT ravindranravillad literaturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT sharmasavitri literaturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT josephjoveeta literaturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT ambiyavikas literaturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia
AT dastaraprasad literaturereviewandupdateontheincidenceandmicrobiologyspectrumofpostcataractsurgeryendophthalmitisoverpasttwodecadesinindia