在过去23年内,白内障手术后内炎发生率的变化
A Hage1, P Bastelica1, A Majoulet1
1Quinze-Vingts National Ophthalmology Hospital, IHU FOReSIGHT, 28, rue de Charenton, 75012 Paris, France.
Journal francais d'ophtalmologie
|December 15, 2024
概括
在白内障手术后,急性术后内炎 (APE) 的发生率显著下降. 预防性povidone-iodine (PVI) 和室内 cefuroxime显著降低了APE发生率,即使增加了程序,也实现了低率.
科学领域:
- 眼科医生 眼科 眼科
- 手术感染 手术感染
- 公共卫生 公共卫生
背景情况:
- 急性术后内炎 (APE) 是白内障手术后的一种罕见但严重的并发症.
- 近几十年来,由于povidone-iodine (PVI) 和室内 cefuroxime,APE发生率有所降低.
- 第三级护理中心的目标是尽量减少APE风险.
研究的目的:
- 分析20多年来白内障手术后APE发生率的趋势.
- 评估特定预防措施对APE率的影响.
- 在一个大型的三级眼科中心报告APE变化.
主要方法:
- 在单一的高等教育中心 (2000-2022) 进行回顾性描述性研究.
- 包括178,752个白内障手术.
- 分析与预防性干预相关的APE病例和发病率.
主要成果:
- 在2000年至2022年期间报告了49例APE病例 (0.027%).
- APE率显著下降,特别是在2011年内腔塞弗洛キシ姆引入后.
- 2011年后,APE率稳定在0.007%,尽管手术量翻了一番.
结论:
- 白内障手术APE发生率在23年内显著下降.
- 结合PVI和系统的室内塞福洛キシ姆是实现低APE率的关键.
- 有效的预防对于大量的白内障手术中心的患者安全至关重要.
关键词:
白内障是什么?白内障是什么?白内障是什么?白内障是什么? 白内障是什么? 白内障是什么?塞福洛キシ姆是一种素.塞福洛克西姆 (Cefuroxime) 是一种眼内膜病 (Endophthalmie) 是一种眼内膜病.内部形形炎 (Endophthalmitis) 是一种这是一种利多卡因凝.利多卡因 (Lidocaine) 是一种可卡因药物.预防性 预防性预防 预防 预防更多相关视频
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