Local antimicrobial prophylaxis in cataract surgery: recent controversies and clinical guidelines.
The best prevention of endophthamitis is the use of strict surgical hygiene. Supplementing the irrigating solution with aminoglycosides and/or vancomycin is a rational, convenient and cost effective method of antimicrobial prophylaxis. However emerging resistance to vancomycin entails restrictions to its daily use. In conclusion, two options are possible: limit the use of prophylaxis in the irrigating solution to only those patients at high risk of injection, or use topical and general antibioprophylaxis with low cost drugs.
Adenis
J P
JP
Service d'ophtalmologie, CHRU Dupuytren, Limoges, France.
Robert
P Y
PY
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D019072:Antibiotic Prophylaxis / Q000191:economics / Q000379:methods*; D002387:Cataract Extraction; D003362:Cost-Benefit Analysis; D004203:Disinfection / Q000191:economics / Q000379:methods; D009877:Endophthalmitis / Q000191:economics / Q000382:microbiology / Q000517:prevention & control*; D015817:Eye Infections / Q000191:economics / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control; D017410:Practice Guidelines as Topic
D000900:Anti-Bacterial Agents