title: Endophthalmitis prophylaxis in cataract surgery: overview of current practice patterns in 9 European countries.
abstract: Data on practice patterns for prophylaxis against infectious postoperative endophthalmitis (IPOE) during cataract surgery in 9 European countries were searched in national registers and reviews of published surveys. Summary reports assessed each nation's IPOE rates, nonantibiotic prophylactic routines, topical and intracameral antibiotic use, and coherence to the European Society of Cataract & Refractive Surgeons (ESCRS) 2007 guidelines. Although the reliability and completeness of available data vary between countries, the results show that IPOE rates differ significantly. Asepsis routines with povidone-iodine and postoperative topical antibiotics are generally adopted. Use of preoperative and perioperative topical antibiotics as well as intracameral cefuroxime varies widely between and within countries. Five years after publication of the ESCRS guidelines, there is no consensus on intracameral cefuroxime use. Major obstacles include legal barriers or persisting controversy about the scientific rationale for systematic intracameral cefuroxime use in some countries and, until recently, lack of a commercially available preparation.
authors.affiliation: Department of Clinical Sciences/Ophthalmology (Behndig), Umeå University Hospital, Umeå, Sweden. anders.behndig@ophthal.umu.se
authors.forename: Anders
authors.initials: A
authors.lastname: Behndig
authors.forename: Beatrice
authors.initials: B
authors.lastname: Cochener
authors.forename: José Luis
authors.initials: JL
authors.lastname: Güell
authors.forename: Laurent
authors.initials: L
authors.lastname: Kodjikian
authors.forename: Rita
authors.initials: R
authors.lastname: Mencucci
authors.forename: Rudy M M A
authors.initials: RM
authors.lastname: Nuijts
authors.forename: Uwe
authors.initials: U
authors.lastname: Pleyer
authors.forename: Paul
authors.initials: P
authors.lastname: Rosen
authors.forename: Jacek P
authors.initials: JP
authors.lastname: Szaflik
authors.forename: Marie-José
authors.initials: MJ
authors.lastname: Tassignon
mesh_terms: D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data*; D001424:Bacterial Infections / Q000382:microbiology / Q000517:prevention & control*; D002387:Cataract Extraction; D009877:Endophthalmitis / Q000382:microbiology / Q000517:prevention & control*; D005060:Europe / Q000453:epidemiology; D015821:Eye Infections, Fungal / Q000382:microbiology / Q000517:prevention & control*; D006801:Humans; D011183:Postoperative Complications; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*