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Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Hand hygiene01:23

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The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
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Country-Specific Approaches to Preventing Infections in Cataract Surgery.

Mario Damiano Toro1,2, Alina Popa-Cherecheanu3,4, Nora Majtanova5

  • 1Department of General and Pediatric Ophthalmology, Medical University of Lublin, 20-079 Lublin, Poland.

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|December 30, 2025
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Summary

Antimicrobial resistance (AMR) is a global health concern. Strategies to prevent endophthalmitis after cataract surgery vary by country, with povidone-iodine, intracameral cefuroxime, and topical fluoroquinolones commonly used.

Keywords:
antibiotic resistanceantibioticscataractprophylaxissurgery

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Public Health

Background:

  • Antimicrobial resistance (AMR) poses a significant global health threat.
  • AMR complicates infection control in cataract surgery, increasing endophthalmitis risk.
  • Endophthalmitis is a severe but rare postoperative complication.

Purpose of the Study:

  • To review country-specific strategies for endophthalmitis prevention in cataract surgery.
  • To focus on the use of antimicrobials in endophthalmitis prevention.
  • To understand variations in infection control practices across different nations.

Main Methods:

  • Ophthalmology experts from 10 countries provided national perspectives.
  • Official guidelines were the primary source of information.
  • Expert opinion and clinical practice were considered when guidelines were unavailable.

Main Results:

  • Preoperative antibiotic use is uncommon in most surveyed countries.
  • Intraoperative antisepsis with povidone-iodine is standard in 9 countries.
  • Intracameral cefuroxime and topical fluoroquinolones are widely used postoperatively, often with corticosteroids.

Conclusions:

  • Povidone-iodine, intracameral cefuroxime, and topical fluoroquinolones are common endophthalmitis prophylaxis agents.
  • Preoperative antibiotic use varies significantly, while postoperative regimens are more consistent.
  • Tailoring strategies to local AMR patterns and judicious antibiotic use are crucial for balancing efficacy and stewardship.