Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation

Abstract Background Acute post-cataract endophthalmitis (APE) is a rare complication potentially causing irreversible visual loss. A 10-year study of APE was conducted to determine its incidence, microbiological spectra and antibiotic resistance profile of APE-related pathogens at a major tertiary r...
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Autor*in:	Juliana Mika Kato [verfasserIn] Tatiana Tanaka [verfasserIn] Luiza Manhezi Shin de Oliveira [verfasserIn] Maura Salaroli de Oliveira [verfasserIn] Flavia Rossi [verfasserIn] Mauro Goldbaum [verfasserIn] Sergio Luis Gianotti Pimentel [verfasserIn] João Nóbrega de Almeida Junior [verfasserIn] Joyce Hisae Yamamoto [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	Endophthalmitis Cataract surgery Antibiotic resistance

Übergeordnetes Werk:	In: International Journal of Retina and Vitreous - BMC, 2015, 7(2021), 1, Seite 6
Übergeordnetes Werk:	volume:7 ; year:2021 ; number:1 ; pages:6

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s40942-021-00280-1

Katalog-ID:	DOAJ069724555

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520			\|a Abstract Background Acute post-cataract endophthalmitis (APE) is a rare complication potentially causing irreversible visual loss. A 10-year study of APE was conducted to determine its incidence, microbiological spectra and antibiotic resistance profile of APE-related pathogens at a major tertiary referral center in Brazil. Methods APE cases reported between January 2010 and December 2019 were included. Phacoemulsification and extracapsular cataract techniques were eligible; combined procedures, traumatic and congenital cataract were excluded. Vitreous samples were cultured and antimicrobial resistance was compared for the periods of 2010–2014 and 2015–2019. The results were analyzed with Fisher’s exact test. Results Our sample consisted of 40,491 cataract surgeries and 51 (0.126%) APE cases. Culture was positive in 35 cases (71.4%), of which 31 (88.6%) Gram-positive, 3 (8.6%) Gram-negative, and 1 (2.9%) fungal. The most frequently isolated organism was Staphylococcus epidermidis (n = 17/35, 48.6%), followed by Staphylococcus aureus (n = 4/35, 11.4%). From 2010–2014 to 2015–2019, antimicrobial resistance increased against moxifloxacin (11.1–54.5%, p = 0.07), ciprofloxacin (54.5–72.7%, p = 0.659) and oxacillin (66.7–93.3%, p = 0.13). Conclusions The observed incidence and microbial spectra were compatible with previous studies. A trend towards growing moxifloxacin and ciprofloxacin resistance was observed. Surveillance remains crucial to prevent treatment failure from antimicrobial resistance.
650		4	\|a Endophthalmitis
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allfields	10.1186/s40942-021-00280-1 doi (DE-627)DOAJ069724555 (DE-599)DOAJ8bb99f6405654ae6928e6ccb43edb54d DE-627 ger DE-627 rakwb eng RE1-994 Juliana Mika Kato verfasserin aut Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute post-cataract endophthalmitis (APE) is a rare complication potentially causing irreversible visual loss. A 10-year study of APE was conducted to determine its incidence, microbiological spectra and antibiotic resistance profile of APE-related pathogens at a major tertiary referral center in Brazil. Methods APE cases reported between January 2010 and December 2019 were included. Phacoemulsification and extracapsular cataract techniques were eligible; combined procedures, traumatic and congenital cataract were excluded. Vitreous samples were cultured and antimicrobial resistance was compared for the periods of 2010–2014 and 2015–2019. The results were analyzed with Fisher’s exact test. Results Our sample consisted of 40,491 cataract surgeries and 51 (0.126%) APE cases. Culture was positive in 35 cases (71.4%), of which 31 (88.6%) Gram-positive, 3 (8.6%) Gram-negative, and 1 (2.9%) fungal. The most frequently isolated organism was Staphylococcus epidermidis (n = 17/35, 48.6%), followed by Staphylococcus aureus (n = 4/35, 11.4%). From 2010–2014 to 2015–2019, antimicrobial resistance increased against moxifloxacin (11.1–54.5%, p = 0.07), ciprofloxacin (54.5–72.7%, p = 0.659) and oxacillin (66.7–93.3%, p = 0.13). Conclusions The observed incidence and microbial spectra were compatible with previous studies. A trend towards growing moxifloxacin and ciprofloxacin resistance was observed. Surveillance remains crucial to prevent treatment failure from antimicrobial resistance. Endophthalmitis Cataract surgery Antibiotic resistance Ophthalmology Tatiana Tanaka verfasserin aut Luiza Manhezi Shin de Oliveira verfasserin aut Maura Salaroli de Oliveira verfasserin aut Flavia Rossi verfasserin aut Mauro Goldbaum verfasserin aut Sergio Luis Gianotti Pimentel verfasserin aut João Nóbrega de Almeida Junior verfasserin aut Joyce Hisae Yamamoto verfasserin aut In International Journal of Retina and Vitreous BMC, 2015 7(2021), 1, Seite 6 (DE-627)837397049 (DE-600)2836254-8 20569920 nnns volume:7 year:2021 number:1 pages:6 https://doi.org/10.1186/s40942-021-00280-1 kostenfrei https://doaj.org/article/8bb99f6405654ae6928e6ccb43edb54d kostenfrei https://doi.org/10.1186/s40942-021-00280-1 kostenfrei https://doaj.org/toc/2056-9920 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2021 1 6
spelling	10.1186/s40942-021-00280-1 doi (DE-627)DOAJ069724555 (DE-599)DOAJ8bb99f6405654ae6928e6ccb43edb54d DE-627 ger DE-627 rakwb eng RE1-994 Juliana Mika Kato verfasserin aut Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute post-cataract endophthalmitis (APE) is a rare complication potentially causing irreversible visual loss. A 10-year study of APE was conducted to determine its incidence, microbiological spectra and antibiotic resistance profile of APE-related pathogens at a major tertiary referral center in Brazil. Methods APE cases reported between January 2010 and December 2019 were included. Phacoemulsification and extracapsular cataract techniques were eligible; combined procedures, traumatic and congenital cataract were excluded. Vitreous samples were cultured and antimicrobial resistance was compared for the periods of 2010–2014 and 2015–2019. The results were analyzed with Fisher’s exact test. Results Our sample consisted of 40,491 cataract surgeries and 51 (0.126%) APE cases. Culture was positive in 35 cases (71.4%), of which 31 (88.6%) Gram-positive, 3 (8.6%) Gram-negative, and 1 (2.9%) fungal. The most frequently isolated organism was Staphylococcus epidermidis (n = 17/35, 48.6%), followed by Staphylococcus aureus (n = 4/35, 11.4%). From 2010–2014 to 2015–2019, antimicrobial resistance increased against moxifloxacin (11.1–54.5%, p = 0.07), ciprofloxacin (54.5–72.7%, p = 0.659) and oxacillin (66.7–93.3%, p = 0.13). Conclusions The observed incidence and microbial spectra were compatible with previous studies. A trend towards growing moxifloxacin and ciprofloxacin resistance was observed. Surveillance remains crucial to prevent treatment failure from antimicrobial resistance. Endophthalmitis Cataract surgery Antibiotic resistance Ophthalmology Tatiana Tanaka verfasserin aut Luiza Manhezi Shin de Oliveira verfasserin aut Maura Salaroli de Oliveira verfasserin aut Flavia Rossi verfasserin aut Mauro Goldbaum verfasserin aut Sergio Luis Gianotti Pimentel verfasserin aut João Nóbrega de Almeida Junior verfasserin aut Joyce Hisae Yamamoto verfasserin aut In International Journal of Retina and Vitreous BMC, 2015 7(2021), 1, Seite 6 (DE-627)837397049 (DE-600)2836254-8 20569920 nnns volume:7 year:2021 number:1 pages:6 https://doi.org/10.1186/s40942-021-00280-1 kostenfrei https://doaj.org/article/8bb99f6405654ae6928e6ccb43edb54d kostenfrei https://doi.org/10.1186/s40942-021-00280-1 kostenfrei https://doaj.org/toc/2056-9920 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2021 1 6
allfields_unstemmed	10.1186/s40942-021-00280-1 doi (DE-627)DOAJ069724555 (DE-599)DOAJ8bb99f6405654ae6928e6ccb43edb54d DE-627 ger DE-627 rakwb eng RE1-994 Juliana Mika Kato verfasserin aut Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute post-cataract endophthalmitis (APE) is a rare complication potentially causing irreversible visual loss. A 10-year study of APE was conducted to determine its incidence, microbiological spectra and antibiotic resistance profile of APE-related pathogens at a major tertiary referral center in Brazil. Methods APE cases reported between January 2010 and December 2019 were included. Phacoemulsification and extracapsular cataract techniques were eligible; combined procedures, traumatic and congenital cataract were excluded. Vitreous samples were cultured and antimicrobial resistance was compared for the periods of 2010–2014 and 2015–2019. The results were analyzed with Fisher’s exact test. Results Our sample consisted of 40,491 cataract surgeries and 51 (0.126%) APE cases. Culture was positive in 35 cases (71.4%), of which 31 (88.6%) Gram-positive, 3 (8.6%) Gram-negative, and 1 (2.9%) fungal. The most frequently isolated organism was Staphylococcus epidermidis (n = 17/35, 48.6%), followed by Staphylococcus aureus (n = 4/35, 11.4%). From 2010–2014 to 2015–2019, antimicrobial resistance increased against moxifloxacin (11.1–54.5%, p = 0.07), ciprofloxacin (54.5–72.7%, p = 0.659) and oxacillin (66.7–93.3%, p = 0.13). Conclusions The observed incidence and microbial spectra were compatible with previous studies. A trend towards growing moxifloxacin and ciprofloxacin resistance was observed. Surveillance remains crucial to prevent treatment failure from antimicrobial resistance. Endophthalmitis Cataract surgery Antibiotic resistance Ophthalmology Tatiana Tanaka verfasserin aut Luiza Manhezi Shin de Oliveira verfasserin aut Maura Salaroli de Oliveira verfasserin aut Flavia Rossi verfasserin aut Mauro Goldbaum verfasserin aut Sergio Luis Gianotti Pimentel verfasserin aut João Nóbrega de Almeida Junior verfasserin aut Joyce Hisae Yamamoto verfasserin aut In International Journal of Retina and Vitreous BMC, 2015 7(2021), 1, Seite 6 (DE-627)837397049 (DE-600)2836254-8 20569920 nnns volume:7 year:2021 number:1 pages:6 https://doi.org/10.1186/s40942-021-00280-1 kostenfrei https://doaj.org/article/8bb99f6405654ae6928e6ccb43edb54d kostenfrei https://doi.org/10.1186/s40942-021-00280-1 kostenfrei https://doaj.org/toc/2056-9920 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2021 1 6
allfieldsGer	10.1186/s40942-021-00280-1 doi (DE-627)DOAJ069724555 (DE-599)DOAJ8bb99f6405654ae6928e6ccb43edb54d DE-627 ger DE-627 rakwb eng RE1-994 Juliana Mika Kato verfasserin aut Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute post-cataract endophthalmitis (APE) is a rare complication potentially causing irreversible visual loss. A 10-year study of APE was conducted to determine its incidence, microbiological spectra and antibiotic resistance profile of APE-related pathogens at a major tertiary referral center in Brazil. Methods APE cases reported between January 2010 and December 2019 were included. Phacoemulsification and extracapsular cataract techniques were eligible; combined procedures, traumatic and congenital cataract were excluded. Vitreous samples were cultured and antimicrobial resistance was compared for the periods of 2010–2014 and 2015–2019. The results were analyzed with Fisher’s exact test. Results Our sample consisted of 40,491 cataract surgeries and 51 (0.126%) APE cases. Culture was positive in 35 cases (71.4%), of which 31 (88.6%) Gram-positive, 3 (8.6%) Gram-negative, and 1 (2.9%) fungal. The most frequently isolated organism was Staphylococcus epidermidis (n = 17/35, 48.6%), followed by Staphylococcus aureus (n = 4/35, 11.4%). From 2010–2014 to 2015–2019, antimicrobial resistance increased against moxifloxacin (11.1–54.5%, p = 0.07), ciprofloxacin (54.5–72.7%, p = 0.659) and oxacillin (66.7–93.3%, p = 0.13). Conclusions The observed incidence and microbial spectra were compatible with previous studies. A trend towards growing moxifloxacin and ciprofloxacin resistance was observed. Surveillance remains crucial to prevent treatment failure from antimicrobial resistance. Endophthalmitis Cataract surgery Antibiotic resistance Ophthalmology Tatiana Tanaka verfasserin aut Luiza Manhezi Shin de Oliveira verfasserin aut Maura Salaroli de Oliveira verfasserin aut Flavia Rossi verfasserin aut Mauro Goldbaum verfasserin aut Sergio Luis Gianotti Pimentel verfasserin aut João Nóbrega de Almeida Junior verfasserin aut Joyce Hisae Yamamoto verfasserin aut In International Journal of Retina and Vitreous BMC, 2015 7(2021), 1, Seite 6 (DE-627)837397049 (DE-600)2836254-8 20569920 nnns volume:7 year:2021 number:1 pages:6 https://doi.org/10.1186/s40942-021-00280-1 kostenfrei https://doaj.org/article/8bb99f6405654ae6928e6ccb43edb54d kostenfrei https://doi.org/10.1186/s40942-021-00280-1 kostenfrei https://doaj.org/toc/2056-9920 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2021 1 6
allfieldsSound	10.1186/s40942-021-00280-1 doi (DE-627)DOAJ069724555 (DE-599)DOAJ8bb99f6405654ae6928e6ccb43edb54d DE-627 ger DE-627 rakwb eng RE1-994 Juliana Mika Kato verfasserin aut Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute post-cataract endophthalmitis (APE) is a rare complication potentially causing irreversible visual loss. A 10-year study of APE was conducted to determine its incidence, microbiological spectra and antibiotic resistance profile of APE-related pathogens at a major tertiary referral center in Brazil. Methods APE cases reported between January 2010 and December 2019 were included. Phacoemulsification and extracapsular cataract techniques were eligible; combined procedures, traumatic and congenital cataract were excluded. Vitreous samples were cultured and antimicrobial resistance was compared for the periods of 2010–2014 and 2015–2019. The results were analyzed with Fisher’s exact test. Results Our sample consisted of 40,491 cataract surgeries and 51 (0.126%) APE cases. Culture was positive in 35 cases (71.4%), of which 31 (88.6%) Gram-positive, 3 (8.6%) Gram-negative, and 1 (2.9%) fungal. The most frequently isolated organism was Staphylococcus epidermidis (n = 17/35, 48.6%), followed by Staphylococcus aureus (n = 4/35, 11.4%). From 2010–2014 to 2015–2019, antimicrobial resistance increased against moxifloxacin (11.1–54.5%, p = 0.07), ciprofloxacin (54.5–72.7%, p = 0.659) and oxacillin (66.7–93.3%, p = 0.13). Conclusions The observed incidence and microbial spectra were compatible with previous studies. A trend towards growing moxifloxacin and ciprofloxacin resistance was observed. Surveillance remains crucial to prevent treatment failure from antimicrobial resistance. Endophthalmitis Cataract surgery Antibiotic resistance Ophthalmology Tatiana Tanaka verfasserin aut Luiza Manhezi Shin de Oliveira verfasserin aut Maura Salaroli de Oliveira verfasserin aut Flavia Rossi verfasserin aut Mauro Goldbaum verfasserin aut Sergio Luis Gianotti Pimentel verfasserin aut João Nóbrega de Almeida Junior verfasserin aut Joyce Hisae Yamamoto verfasserin aut In International Journal of Retina and Vitreous BMC, 2015 7(2021), 1, Seite 6 (DE-627)837397049 (DE-600)2836254-8 20569920 nnns volume:7 year:2021 number:1 pages:6 https://doi.org/10.1186/s40942-021-00280-1 kostenfrei https://doaj.org/article/8bb99f6405654ae6928e6ccb43edb54d kostenfrei https://doi.org/10.1186/s40942-021-00280-1 kostenfrei https://doaj.org/toc/2056-9920 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2021 1 6
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authorswithroles_txt_mv	Juliana Mika Kato @@aut@@ Tatiana Tanaka @@aut@@ Luiza Manhezi Shin de Oliveira @@aut@@ Maura Salaroli de Oliveira @@aut@@ Flavia Rossi @@aut@@ Mauro Goldbaum @@aut@@ Sergio Luis Gianotti Pimentel @@aut@@ João Nóbrega de Almeida Junior @@aut@@ Joyce Hisae Yamamoto @@aut@@
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topic_title	RE1-994 Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation Endophthalmitis Cataract surgery Antibiotic resistance
topic	misc RE1-994 misc Endophthalmitis misc Cataract surgery misc Antibiotic resistance misc Ophthalmology
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title	Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation
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title_full	Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation
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author_browse	Juliana Mika Kato Tatiana Tanaka Luiza Manhezi Shin de Oliveira Maura Salaroli de Oliveira Flavia Rossi Mauro Goldbaum Sergio Luis Gianotti Pimentel João Nóbrega de Almeida Junior Joyce Hisae Yamamoto
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title_sort	surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation
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title_auth	Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation
abstract	Abstract Background Acute post-cataract endophthalmitis (APE) is a rare complication potentially causing irreversible visual loss. A 10-year study of APE was conducted to determine its incidence, microbiological spectra and antibiotic resistance profile of APE-related pathogens at a major tertiary referral center in Brazil. Methods APE cases reported between January 2010 and December 2019 were included. Phacoemulsification and extracapsular cataract techniques were eligible; combined procedures, traumatic and congenital cataract were excluded. Vitreous samples were cultured and antimicrobial resistance was compared for the periods of 2010–2014 and 2015–2019. The results were analyzed with Fisher’s exact test. Results Our sample consisted of 40,491 cataract surgeries and 51 (0.126%) APE cases. Culture was positive in 35 cases (71.4%), of which 31 (88.6%) Gram-positive, 3 (8.6%) Gram-negative, and 1 (2.9%) fungal. The most frequently isolated organism was Staphylococcus epidermidis (n = 17/35, 48.6%), followed by Staphylococcus aureus (n = 4/35, 11.4%). From 2010–2014 to 2015–2019, antimicrobial resistance increased against moxifloxacin (11.1–54.5%, p = 0.07), ciprofloxacin (54.5–72.7%, p = 0.659) and oxacillin (66.7–93.3%, p = 0.13). Conclusions The observed incidence and microbial spectra were compatible with previous studies. A trend towards growing moxifloxacin and ciprofloxacin resistance was observed. Surveillance remains crucial to prevent treatment failure from antimicrobial resistance.
abstractGer	Abstract Background Acute post-cataract endophthalmitis (APE) is a rare complication potentially causing irreversible visual loss. A 10-year study of APE was conducted to determine its incidence, microbiological spectra and antibiotic resistance profile of APE-related pathogens at a major tertiary referral center in Brazil. Methods APE cases reported between January 2010 and December 2019 were included. Phacoemulsification and extracapsular cataract techniques were eligible; combined procedures, traumatic and congenital cataract were excluded. Vitreous samples were cultured and antimicrobial resistance was compared for the periods of 2010–2014 and 2015–2019. The results were analyzed with Fisher’s exact test. Results Our sample consisted of 40,491 cataract surgeries and 51 (0.126%) APE cases. Culture was positive in 35 cases (71.4%), of which 31 (88.6%) Gram-positive, 3 (8.6%) Gram-negative, and 1 (2.9%) fungal. The most frequently isolated organism was Staphylococcus epidermidis (n = 17/35, 48.6%), followed by Staphylococcus aureus (n = 4/35, 11.4%). From 2010–2014 to 2015–2019, antimicrobial resistance increased against moxifloxacin (11.1–54.5%, p = 0.07), ciprofloxacin (54.5–72.7%, p = 0.659) and oxacillin (66.7–93.3%, p = 0.13). Conclusions The observed incidence and microbial spectra were compatible with previous studies. A trend towards growing moxifloxacin and ciprofloxacin resistance was observed. Surveillance remains crucial to prevent treatment failure from antimicrobial resistance.
abstract_unstemmed	Abstract Background Acute post-cataract endophthalmitis (APE) is a rare complication potentially causing irreversible visual loss. A 10-year study of APE was conducted to determine its incidence, microbiological spectra and antibiotic resistance profile of APE-related pathogens at a major tertiary referral center in Brazil. Methods APE cases reported between January 2010 and December 2019 were included. Phacoemulsification and extracapsular cataract techniques were eligible; combined procedures, traumatic and congenital cataract were excluded. Vitreous samples were cultured and antimicrobial resistance was compared for the periods of 2010–2014 and 2015–2019. The results were analyzed with Fisher’s exact test. Results Our sample consisted of 40,491 cataract surgeries and 51 (0.126%) APE cases. Culture was positive in 35 cases (71.4%), of which 31 (88.6%) Gram-positive, 3 (8.6%) Gram-negative, and 1 (2.9%) fungal. The most frequently isolated organism was Staphylococcus epidermidis (n = 17/35, 48.6%), followed by Staphylococcus aureus (n = 4/35, 11.4%). From 2010–2014 to 2015–2019, antimicrobial resistance increased against moxifloxacin (11.1–54.5%, p = 0.07), ciprofloxacin (54.5–72.7%, p = 0.659) and oxacillin (66.7–93.3%, p = 0.13). Conclusions The observed incidence and microbial spectra were compatible with previous studies. A trend towards growing moxifloxacin and ciprofloxacin resistance was observed. Surveillance remains crucial to prevent treatment failure from antimicrobial resistance.
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title_short	Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation
url	https://doi.org/10.1186/s40942-021-00280-1 https://doaj.org/article/8bb99f6405654ae6928e6ccb43edb54d https://doaj.org/toc/2056-9920
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A 10-year study of APE was conducted to determine its incidence, microbiological spectra and antibiotic resistance profile of APE-related pathogens at a major tertiary referral center in Brazil. Methods APE cases reported between January 2010 and December 2019 were included. Phacoemulsification and extracapsular cataract techniques were eligible; combined procedures, traumatic and congenital cataract were excluded. Vitreous samples were cultured and antimicrobial resistance was compared for the periods of 2010–2014 and 2015–2019. The results were analyzed with Fisher’s exact test. Results Our sample consisted of 40,491 cataract surgeries and 51 (0.126%) APE cases. Culture was positive in 35 cases (71.4%), of which 31 (88.6%) Gram-positive, 3 (8.6%) Gram-negative, and 1 (2.9%) fungal. The most frequently isolated organism was Staphylococcus epidermidis (n = 17/35, 48.6%), followed by Staphylococcus aureus (n = 4/35, 11.4%). From 2010–2014 to 2015–2019, antimicrobial resistance increased against moxifloxacin (11.1–54.5%, p = 0.07), ciprofloxacin (54.5–72.7%, p = 0.659) and oxacillin (66.7–93.3%, p = 0.13). Conclusions The observed incidence and microbial spectra were compatible with previous studies. A trend towards growing moxifloxacin and ciprofloxacin resistance was observed. 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Surveillance of post-cataract endophthalmitis at a tertiary referral center: a 10-year critical evaluation

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