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在立即连续的双边白内障手术后,双边内炎的爆发
Jakob Bjerager1, Ditte-Marie Leegaard Holm1, Lars Holm1
1Department of Ophthalmology, Rigshospitalet, Glostrup, Denmark.
JAMA ophthalmology
|October 19, 2023
概括
在立即连续的双边白内障手术 (ISBCS) 后,双边同时术后内炎 (BSPOE) 的爆发与全诊所的不育性损伤有关. 严格遵守无菌协议对于ISBCS期间的患者安全至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 外科手术的安全性
背景情况:
- 双边同时术后内炎 (BSPOE) 紧接着双边连续性白内障手术 (ISBCS) 对患者视力构成重大风险.
- 及时调查至关重要,以确定致病因素并防止进一步发生.
研究的目的:
- 为了确定在单眼诊所的ISBCS手术期间是否发生了系统性无菌性损伤.
- 为了调查与同一天进行的ISBCS相关的BSPOE疫情.
主要方法:
- 对在丹麦被诊断患有BSPOE的患者进行了回顾性病例系列.
- 纳入标准包括2022年12月在特定社区眼科诊所接受ISBCS的患者.
- 分析了临床和微生物学数据,以评估患者的结果,并确定病因.
主要成果:
- 在同一天在同一诊所进行ISBCS后,三名患者患上BSPOE.
- 同样的Staphylococcus epidermidis菌株被分离到五个受感染的眼睛中的四个,这些眼睛经历了玻璃切除术.
- 虽然实现了一些视力恢复,但一只眼睛被除,另一个眼睛的最终视力敏度为20/63.
结论:
- 对S epidermidis的持续隔离表明ISBCS期间在诊所发生了系统性无菌性破坏.
- 这些发现强调了严格的无菌技术和手术方案在双边白内障手术中的关键重要性.
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