有证据表明微生物抗生素耐药性发生变化,导致白内障后手术内炎:系统性审查
Christina J Flaxel1, Justine Smith2, Nieraj Jain3
1Ophthalmology, Oregon Health and Science University, Portland, Oregon, USA flaxelc@ohsu.edu.
BMJ open ophthalmology
|April 24, 2025
概括
有限的证据表明,较新的诺基诺抗生素和室内抗生素预防措施不会显著增加白内障手术后的细菌耐药性. 需要进一步的高层次研究来证实这些发现.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗生素耐药性是医疗保健中日益关注的问题.
- 白内障手术涉及使用抗生素进行预防.
- 较新的局部诺基诺和室内 (IC) 抗生素预防通常使用.
研究的目的:
- 对白内障手术前后抗生素耐药性模式的证据进行审查.
- 评估室内抗生素预防对耐药性的影响.
- 评估与最新的局部诺基诺相关的耐药性趋势.
主要方法:
- 在PubMed (2019-2024) 搜索了高质量的英语研究.
- 包括26篇符合特定标准的原创研究文章.
- 使用牛津证据医学中心系统进行评级的研究.
主要成果:
- 没有确定的I级证据表明细菌对IC或口服抗生素的耐药性增加.
- 没有I级证据表明局部抗生素的耐药性增加.
- 一些III级证据表明,在长时间使用抗生素时可能出现耐药性,并且在特定的诺基诺时可能出现耐药性趋势.
结论:
- 很少有证据表明,白内障手术中的当前抗生素预防会增加细菌耐药性.
- 缺乏高级别证据 (RCT) 限制了最终的结论.
- 需要进一步的严格研究来证实研究结果并解决偏见.
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