INCIDENCE OF ENDOPHTHALMITIS POST CATARACT SURGERY IN A TERTIARY HOSPITAL OF BUENOS AIRES.
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| Title: | INCIDENCE OF ENDOPHTHALMITIS POST CATARACT SURGERY IN A TERTIARY HOSPITAL OF BUENOS AIRES. |
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| Alternate Title: | Incidencia de endoftalmitis post cirugía de catarata en un hospital de tercer nivel en Buenos Aires. |
| Authors: | SEGRETÍN GUTIÉRREZ, ELIANA F. E.1 eliana.segretin@hospitalitaliano.org.ar, GARCÍA, MARÍA M.1, BURSZTYN, MARCELO1, BENAVENTE DEFFERRARI, MARÍA M.1, ORTIZ-BASSO, TOMÁS1 |
| Source: | Medicina (Buenos Aires). nov/dic2022, Vol. 82 Issue 6, p851-855. 5p. |
| Subjects: | ENDOPHTHALMITIS, CATARACT surgery, PHACOEMULSIFICATION, PREVENTIVE medicine, PSEUDOMONAS aeruginosa |
| Abstract (English): | Objective: Acknowledging the rates of endophthalmitis after cataract surgery is very important to understand the seriousness of the disease. Until now, there is no data of this situation in Argentina. The aim of this study was to estimate the incidence of postoperative endophthalmitis after cataract surgery at a tertiary hospital, a medical facility which provides a high degree of subspecialty expertise, in Buenos Aires, Argentina. Method: Retrospective cohort study of adult patients who underwent cataract phacoemulsification surgery between 2006 and 2020 at Hospital Italiano de Buenos Aires, was performed. Patients with endophthalmitis diagnosis within the first 6 weeks after surgery were included. Those who underwent extracapsular surgery or combined surgeries were excluded. Results: A total of 29 326 cataract surgeries were performed in ten years. The annual incidence of acute postoperative endophthalmitis after cataract surgery was 0.102% (95% CI 0.069-0.146). Thirty cases of endophthalmitis were diagnosed. The main microorganism was Pseudomonas aeruginosa (45.4%). Final visual acuity was higher than 0.3 (LogMAR) in 46.6% of the patients. Conclusion: The incidence of endophthalmitis after cataract surgery in this hospital is within the range reported globally. Knowing the regional incidence contributes to decide if new prophylaxis measures are necessary. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: Conocer las tasas de endoftalmitis después de la cirugía de cataratas es muy importante para comprender la gravedad de la enfermedad. Hasta el momento, no hay datos de su situación en Argentina. El objetivo de este estudio fue estimar la incidencia de endoftalmitis postoperatoria tras cirugía de catarata en un hospital de tercer nivel o alta complejidad de Buenos Aires, Argentina. Método: Se realizó un estudio de cohorte retrospectivo de pacientes adultos operados de facoemulsificación de cataratas entre 2006 y 2020 en el Hospital Italiano de Buenos Aires. Se incluyeron pacientes con diagnóstico de endoftalmitis dentro de las primeras 6 semanas posteriores a la cirugía. Se excluyeron los pacientes que se sometieron a cirugía extracapsular o cirugías combinadas. Resultados: En diez años se realizaron un total de 29.326 operaciones de cataratas. La incidencia anual de endoftalmitis postoperatoria aguda después de la cirugía de cataratas fue del 0.102% (IC del 95%: 0.069-0.146). Treinta casos de endoftalmitis fueron identificados. El principal microorganismo fue Pseudomonas aeruginosa (45.4%). La agudeza visual final fue superior a 0.3 (LogMAR) en el 46.6% de los pacientes. Conclusión: La incidencia de endoftalmitis después de la cirugía de cataratas en este hospital está dentro del rango reportado a nivel mundial. Conocer la incidencia regional contribuye a decidir si son necesarias nuevas medidas de profilaxis. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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