2008-2023年间对白内障后手术内炎预防的临床实践指南进行系统审查
Nuntachai Surawatsatien1,2, Pimpetch Kasetsuwan2,3, Jipada Pruksacholavit2,3
1Center of Excellence in Retina, Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Clinical ophthalmology (Auckland, N.Z.)
|November 3, 2025
概括
在白内障手术后预防内炎至关重要. 这次审查发现了常见的预防措施,如室内抗生素和波维-,但指导方针因具体情况而异.
科学领域:
- 眼科医生 眼科 眼科
- 预防传染病 预防传染病
- 基于证据的医学基于证据的医学.
背景情况:
- 手术后内眼炎是白内障手术的严重并发症,可能导致视力丧失.
- 现有的临床实践指南 (CPG) 为预防提供了各种建议.
- 由于CPG的变化,需要对当前的建议进行综合.
研究的目的:
- 系统地审查和评估全球临床实践指南,用于白内障手术后的内炎预防.
- 确定共同的预防策略和指导方针之间存在分歧的领域.
- 评估现有指南的质量.
主要方法:
- 综合的文献搜索,包括引用和灰色文献.
- 联系国际眼科医生以获得额外的指导方针.
- 在白内障手术后的内炎预防 (2008-2023) 中包括CPG.
- 使用研究和评估指南评估II (AGREE II) 工具进行质量评估.
主要成果:
- 确定和分析了21条指导方针.
- 常常建议使用室内抗生素,结膜波维-灌注和周围轨道皮肤制备.
- 在度,剂量,接触时间以及包括局部抗生素或眼睛保护等辅助措施方面,发现了显著的差异.
结论:
- 在白内障手术后对内炎的核心预防策略显示出广泛的共识.
- 指导方针的差异可能源于当地法规,实践变化和证据解释.
- 根据个体患者的特征和情况量身定制预防措施至关重要.
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