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TitreIs there a role for prophylactic antibiotics after vitreoretinal surgery?
ButTo evaluate the post-operative course when antiobiotics are not standardly used in the postoperative period after vitreoretinal surgery.
MéthodesRetrospective, interventional , non-comparative non-randomized consecutive cohort study where all vitreoretinal surgeries performed in our department between 15/03/2005 and 14/12/2008. The medical records were reviewed of 986 patients after pars plana vitrectomy, recording the operation technique and the postoperative medical treatment, more specifically antibiotics. The pre-, peri- and postoperative prophylactic measures were also recorded.
RésultatsDuring the period of the study, we noted one case of endophtalmitis, where antiobiotics in the postoperative period was given in 12 patients of 950 operations in 780 patients.
ConclusionDespite not routinely using antibiotics in the postoperative care, the incidence of endophtalmitis in our series is within the range of previously published data. With the rise of acquired antimicrobial resistance to antibiotics and with the evidence that the absence of antibiotics in the standard postoperative care doesn’t increase the rate of infections, the role for prophylactic antibiotics after vitreoretinal surgery becomes even more questionable.
Auteur 1
NomHAVERBEKE
InitialesG
InstitutAademiska University Hospital
VilleUppsala
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