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CC BY-NC-ND 4.0 · Journal of Academic Ophthalmology 2023; 15(01): e86-e90
DOI: 10.1055/s-0043-1768024
Research Article

Antibiotic Protocols for Endophthalmitis Prophylaxis Following Open-Globe Repair: A Survey of U.S. Residency Programs

David Fell
1   Department of Ophthalmology, The University of Texas Southwestern Medical Center, Dallas, Texas
,
Preston H. Blomquist 
1   Department of Ophthalmology, The University of Texas Southwestern Medical Center, Dallas, Texas
› Institutsangaben Funding None.
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Abstract

Purpose To assess the various approaches to endophthalmitis prevention following traumatic open-globe injury (OGI) repair.

Methods A research electronic data capture (REDCap) questionnaire evaluating the usage of antibiotics and steroids in patients with OGI was distributed to program directors of all U.S. ophthalmology residency programs using the Association of University Professors of Ophthalmology program directors' listserv. Completed questionnaires were analyzed for treatment patterns.

Results The REDCap questionnaire was distributed to 111 programs, with 32 residency programs responding. Two responses were excluded. Ninety percent (27/30) of included programs used perioperative intravenous (IV) antibiotics, with 78% (21/27) of those giving one dose only. At the time of surgery, 27% (8/30) of programs gave intravitreal antibiotics and 60% (18/30) gave subconjunctival antibiotics. Postoperatively, 100% (30/30) gave topical antibiotics and 97% (29/30) gave topical steroids. Only 53% of responders discharged patients on oral antibiotics. Of the three programs who did not use IV antibiotics, all three gave intravitreal therapy and one also discharged patients on oral antibiotics.

Conclusion There is a large variation in practice patterns for endophthalmitis prophylaxis among residency programs. Further investigation is needed to compare rates of endophthalmitis between these protocols and establish a safe and minimally burdensome standard of care.

Keywords

endophthalmitis - antibiotic prophylaxis - open-globe injury


Publikationsverlauf

Eingereicht: 24. August 2022

Angenommen: 01. März 2023

Artikel online veröffentlicht:
12. April 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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