AustralieFrV1, Main, Exploration, bibRecord, 000156

Topical antibiotics and intravitreal injections.

Identifieur interne : 000156 ( Main/Exploration ); précédent : 000155; suivant : 000157

Topical antibiotics and intravitreal injections.

Auteurs : Alex P. Hunyor [Australie] ; Rohan Merani [Australie] ; Archie Darbar [Australie] ; Jean-François Korobelnik [France] ; Paolo Lanzetta [Italie] ; Annabelle A. Okada [Japon]

Source :

Acta ophthalmologica [ 1755-3768 ] ; 2017.

RBID : pubmed:28440583

Abstract

There is increasing evidence that topical antibiotics, given before and/or after intravitreal injections, are ineffective in preventing endophthalmitis and are possibly harmful. In addition to the lack of efficacy and increased development of resistant organisms, the use of topical antibiotics adds significantly to the cost of delivering intravitreal therapy. Despite this, in many countries, it is still common practice to use pre- and/or postinjection topical antibiotics. This review outlines the general principles of effective antibiotic prophylaxis, and the evidence regarding topical antibiotic use as a prophylactic measure for endophthalmitis following intravitreal injections. A key distinguishing feature of intravitreal injections from most other invasive procedures is the fact that they are often repeated on multiple occasions to the same eye. Given the lack of evidence to support topical antibiotics as an effective method of prophylaxis for postinjection endophthalmitis, it appears that more widespread education of ophthalmologists is required to avoid continued inappropriate use. Revision of drug labels in some jurisdictions, and amendment of local/professional society guidelines, may be required to assist in achieving this goal. Emphasis should be placed on antisepsis and aseptic technique, which are the major proven methods of endophthalmitis prevention, rather than antibiotics.

DOI: 10.1111/aos.13417
PubMed: 28440583

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en">There is increasing evidence that topical antibiotics, given before and/or after intravitreal injections, are ineffective in preventing endophthalmitis and are possibly harmful. In addition to the lack of efficacy and increased development of resistant organisms, the use of topical antibiotics adds significantly to the cost of delivering intravitreal therapy. Despite this, in many countries, it is still common practice to use pre- and/or postinjection topical antibiotics. This review outlines the general principles of effective antibiotic prophylaxis, and the evidence regarding topical antibiotic use as a prophylactic measure for endophthalmitis following intravitreal injections. A key distinguishing feature of intravitreal injections from most other invasive procedures is the fact that they are often repeated on multiple occasions to the same eye. Given the lack of evidence to support topical antibiotics as an effective method of prophylaxis for postinjection endophthalmitis, it appears that more widespread education of ophthalmologists is required to avoid continued inappropriate use. Revision of drug labels in some jurisdictions, and amendment of local/professional society guidelines, may be required to assist in achieving this goal. Emphasis should be placed on antisepsis and aseptic technique, which are the major proven methods of endophthalmitis prevention, rather than antibiotics.</div>
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Serveur d'exploration sur les relations entre la France et l'Australie

Topical antibiotics and intravitreal injections.

Topical antibiotics and intravitreal injections.

Source :

Abstract

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	Serveur d'exploration sur les relations entre la France et l'Australie
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