دورية أكاديمية

Post-traumatic endophthalmitis prophylaxis: a systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Post-traumatic endophthalmitis prophylaxis: a systematic review and meta-analysis.
المؤلفون: Van Swol JM; College of Medicine, Medical University of South Carolina, Charleston, SC, USA. jmv201@musc.edu., Myers WK; College of Medicine, Medical University of South Carolina, Charleston, SC, USA., Beall JA; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA., Atteya MM; College of Medicine, Medical University of South Carolina, Charleston, SC, USA., Blice JP; Department of Ophthalmology-Vitreoretinal Surgery, Medical University of South Carolina, Charleston, SC, USA.
المصدر: Journal of ophthalmic inflammation and infection [J Ophthalmic Inflamm Infect] 2022 Nov 18; Vol. 12 (1), pp. 39. Date of Electronic Publication: 2022 Nov 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Germany NLM ID: 101553216 Publication Model: Electronic Cited Medium: Print ISSN: 1869-5760 (Print) Linking ISSN: 18695760 NLM ISO Abbreviation: J Ophthalmic Inflamm Infect Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Berlin : Springer
مستخلص: Purpose: The goal of this study is to determine if certain aspects of endophthalmitis prophylaxis strategies are superior to others.
Design: This investigation is a systematic review and meta-analysis.
Methods: All studies specifying a type of prophylaxis strategy and resulting rates of endophthalmitis were included. Time course, method of administration, and antibiotic regimen, and confounding factors were collected and included for meta-regression.
Results: Time courses greater than 24 h did not significantly improve outcomes. Likewise, intraocular and/or intravenous antibiotic administration methods did not significantly outperform oral administration. No antibiotic regimens performed differently from vancomycin/ ≥ 3 rd generation cephalosporin except for ciprofloxacin monotherapy which yielded significantly worse outcomes.
Conclusions: Future antibiotic strategies should strongly consider the risks of antibiotic treatment > 24 h and administration methods other than the oral antibiotic forms. In addition, providers should be wary of using ciprofloxacin monotherapy for endophthalmitis prophylaxis when treating open globe injuries.
(© 2022. The Author(s).)
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فهرسة مساهمة: Keywords: Endophthalmitis; Meta-analysis; Open globe; Post-traumatic; Prophylaxis; Systematic review
تواريخ الأحداث: Date Created: 20221117 Latest Revision: 20221121
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9672185
DOI: 10.1186/s12348-022-00317-y
PMID: 36396863
قاعدة البيانات: MEDLINE