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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...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2017
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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 |
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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 |
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