[Antibiotic resistance in patients after serial intravitreal injections]

G V Voronin1, M V Budzinskaya1, M G Strakhovskaya2

  • 1Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021.

Vestnik Oftalmologii
|August 9, 2019
PubMed

Insights

Topical antibiotic use before eye injections lacks proven benefit for preventing post-injection endophthalmitis (PIE). Routine antibiotic use promotes resistant bacterial strains, potentially increasing eye infection risk.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Infectious Diseases

Background:

  • Topical antibiotic prophylaxis is commonly used before intravitreal injections.
  • Evidence supporting its efficacy in preventing post-injection endophthalmitis (PIE) is limited.
  • This practice may contribute to the development of antibiotic resistance.

Purpose of the Study:

  • To evaluate the necessity and potential risks of routine topical antibiotic use.
  • To analyze the impact of frequent antibiotic administration on ocular surface microbiota.
  • To highlight the emergence of resistant bacterial strains due to selective pressure.

Main Methods:

  • Review of current clinical practices and available scientific literature.
  • Analysis of the effects of antibiotic exposure on bacterial flora composition.
  • Assessment of the link between antibiotic resistance and ocular infection severity.

Main Results:

  • Convincing data on the effectiveness of topical antibiotics in PIE prevention is lacking.
  • Frequent antibiotic use alters conjunctival flora composition.
  • Selective survival of resistant and virulent bacterial strains is observed.

Conclusions:

  • The routine use of topical antibiotics before intravitreal injections may be unwarranted.
  • This practice can lead to the proliferation of resistant pathogens.
  • Potential risks include increased virulence and severe intraocular damage.

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