Journal of cataract and refractive surgery · 2008
Microbial cultures of the microkeratome blade immediately after flap construction in laser in situ keratomileusis.
Клинический случайСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Khan Ahsan M, Larson Bruce, Noth James, Rosen Roger, Bouchard Charles
Аннотация
PURPOSE: To assess the incidence of positive cultures from samples of the microkeratome blade after routine laser in situ keratomileusis (LASIK) procedures as a measure of the risk for postoperative infectious keratitis.
SETTING: Hinsdale Surgical Center, Hinsdale, Illinois, USA.
METHODS: In this prospective study, 99 microkeratome blades (Hansatome) were cultured after routine LASIK procedures by multiple surgeons at an ambulatory surgery center. Cultures were sent for routine aerobic and anaerobic growth. Positive cultures were then sent for routine sensitivities.
RESULTS: Five of 99 swabs of microkeratome blades were culture positive. Four cultures grew Staphylococcus epidermidis and 1, Staphylococcus warneri. Two of the staphylococcal cultures were resistant to ciprofloxacin and levofloxacin but sensitive to moxifloxacin and gatifloxacin.
CONCLUSIONS: The study demonstrated a 5% positive culture rate from the microkeratome blade after routine LASIK surgery by multiple surgeons in an ambulatory surgery center. No patient with positive cultures developed postoperative infectious keratitis. Factors other than the presence of bacteria contribute to the development of clinical infection.
SETTING: Hinsdale Surgical Center, Hinsdale, Illinois, USA.
METHODS: In this prospective study, 99 microkeratome blades (Hansatome) were cultured after routine LASIK procedures by multiple surgeons at an ambulatory surgery center. Cultures were sent for routine aerobic and anaerobic growth. Positive cultures were then sent for routine sensitivities.
RESULTS: Five of 99 swabs of microkeratome blades were culture positive. Four cultures grew Staphylococcus epidermidis and 1, Staphylococcus warneri. Two of the staphylococcal cultures were resistant to ciprofloxacin and levofloxacin but sensitive to moxifloxacin and gatifloxacin.
CONCLUSIONS: The study demonstrated a 5% positive culture rate from the microkeratome blade after routine LASIK surgery by multiple surgeons in an ambulatory surgery center. No patient with positive cultures developed postoperative infectious keratitis. Factors other than the presence of bacteria contribute to the development of clinical infection.
Предметные рубрики MeSH
AdultBacteriological TechniquesCorneal UlcerDrug Resistance, BacterialEquipment ContaminationEye Infections, BacterialFemaleHumansIncidenceKeratomileusis, Laser In SituLasers, ExcimerMaleMicrobial Sensitivity TestsMiddle AgedMyopiaProspective StudiesRisk FactorsStaphylococcal InfectionsStaphylococcus epidermidisSurgical Flaps