白内障手术的抗生素预防 - 印度眼科医生的实践模式
Aditya S Kelkar1, Namrata Sharma2, Lalit Verma3
1Department of Ophthalmology, National Institute of Ophthalmology, (NIO) Pune, Maharashtra, India.
Indian journal of ophthalmology
|August 21, 2023
概括
在印度,白内障手术的室内抗生素预防 (ICAB) 越来越多地使用,现在有58%的外科医生使用它. 莫西弗洛克萨是首选的药物,尽管偶尔的眼内炎症需要更安全的配方.
科学领域:
- 眼科医生 眼科 眼科
- 手术感染预防 手术感染预防
- 药理学 药理学是指药理学的学科.
背景情况:
- 白内障手术在全球范围内是一种常见的手术.
- 术后抗生素预防对于预防手术后感染至关重要.
- 室内抗生素 (ICAB) 提供直接进入眼睛的向预防.
研究的目的:
- 评估当前的采用和趋势的外科手术期间抗生素预防,特别是ICAB,在印度.
- 确定印度外科医生中首选的抗生素剂以及ICAB使用或不使用的原因.
主要方法:
- 一项在线调查于2022年8月分发给全印度眼科医学会 (AIOS) 的会员.
- 一个经过验证的40点问卷评估了关于外科手术期间抗生素预防的当前做法.
- 分析了1804名受访者的数据,以确定趋势和影响因素.
主要成果:
- 58%的受访者报告说,ICAB在白内障手术中经常使用,比前几年增加了.
- 莫西弗洛克萨是最常用的ICAB药物 (67%).
- 经验丰富的外科医生和医学院的外科医生使用ICAB的频率较低;缺乏感知需求是不采用的主要原因.
结论:
- 在印度,ICAB用于白内障手术的使用量大幅增加,到2022年达到58%.
- 虽然moxifloxacin被广泛推,但偶尔出现的毒性反应和眼内炎症凸显了对更安全配方的需求.
- 对最佳的ICAB策略和配方进行进一步研究是有必要的.
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