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Deze abstract is toegekend aan sessie SBO-BOG Free papers: Chirurgie retina en vitreum/chirurgie rétine et vitré
TitelPreoperative eye disinfection in vitrectomy surgery
Abstract Nr.126
DoelThe incidence of postoperative infection after any intra-ocular surgery or intravitreal injection is approximately 1/1500. Pre-operative application of antibiotic drops is sometimes advocated, but this may induce bacterial resistance. Recently, an antiseptic solution of hexamedinedi-isetionaat (1mg/ml) became available (Desomedine®) for preoperative eye disinfection. Using an antiseptic agent rather than an antibiotic drop may reduce the risk of endoftalmitis without inducing bacterial resistance.
The aim of this study is to evaluate the sterilizing effect of Desomedine on the conjunctiva, comparing its effect to a popular antibiotic drug: ofloxacine (Trafloxal®).
MethodesMethods: patients scheduled for a primary vitrectomy were asked to apply a drop of either Trafloxal or Desomedine 4 times daily five days before the surgery. After draping of the patient, but before the routine conjunctival wash with an iodine antiseptic, a conjunctival smear was taken with a Qtip and applied on standard bacterial culturing dishes. Bacterial growth was evaluated by a masked observer.
ResultatenIn total, 60 patients are included in this study: 20 using Desomedine, 20 using Trafloxal, and 20 patients not using any preoperative drops as control samples. Statistical comparison between the three study arms will be performed to evaluate whether preoperative disinfection is useful and which product (antiseptic or antibiotic) is preferred.
Auteur 1
NaamVANINBROUKX
InitialenI
InstituutUZ Leuven
StadLeuven
Auteur 2
NaamVan Calster
InitialenJ
InstituutUZ Leuven
StadLeuven
Auteur 3
NaamSpileers
InitialenW
InstituutUZ Leuven
StadLeuven
Auteur 4
NaamVerhaegen
InitialenJ
InstituutUZ Leuven
StadLeuven
Auteur 5
NaamStalmans
InitialenP
InstituutUZ Leuven
StadLeuven
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