Case Control Analyses of Acute Endophthalmitis after Cataract Surgery in South India Associated with Technique, Patient Care, and Socioeconomic Status英文文献资料.docVIP
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Case Control Analyses of Acute Endophthalmitis after Cataract Surgery in South India Associated with Technique, Patient Care, and Socioeconomic Status英文文献资料
HindawiPublishingCorporation
JournalofOphthalmology
Volume2012,ArticleID298459,6pages
doi:10.1155/2012/298459
ClinicalStudy
CaseControlAnalysesofAcuteEndophthalmitisafterCataract
SurgeryinSouthIndiaAssociatedwithTechnique,PatientCare,
andSocioeconomicStatus
TaraprasadDas,1,2AnjliHussain,1ThomasNaduvilath,3,4SavitriSharma, 2,5
1
SubhadraJalali,
1
andAjitB.Majji
1
2
3
4
5
Smt.KanuriSanthammaRetinaVitreousCenter,LVPrasadEyeInstitute,Hyderabad500034,India
LVPrasadEyeInstitute,Patia,Bhubaneswar751024,India
PublicHealthOphthalmologyDivision,LVPrasadEyeInstitute,Hyderabad500034,India
BrienHoldenVisionInstitute,Sydney,NSW2052,Australia
JaveriMicrobiologyCenter,LVPrasadEyeInstitute,Hyderabad500034,India
CorrespondenceshouldbeaddressedtoTaraprasadDas,tpd@
Received1September2011;Revised7December2011;Accepted19December2011
AcademicEditor:G.L.Spaeth
Copyright?2012TaraprasadDasetal. This is an open access article distributed under the Creative Commons Attribution
License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly
cited.
Purpose. We investigated acute endophthalmitis incidence following cataract surgery vis-a-vis the current technological and
postoperativecarechangesinhigherandlowersocioeconomiccategoriesofpatientsinSouthIndia.Methods.Inaretrospective
case control study, we analyzed 62 cases of acute endophthalmitis and 5 controls for each endophthalmitis case from 46,095
cataractsurgeriesdonebetweenyears1993and1998.Thetimeperiodcoveredthetransitionofsurgicaltechniqueandaftercare.
Inaddition,weanalyzedsystemicdiseases,surgeonfactor,habitat,andsocioeconomicstatus.Results.Clinicalandculturepositive
endophthalmitisincidencewere0.13%and0.07%,respectively.Di?erentialincidenceof0.10%and0.17%forin-andambulatory
caresurgeries,respectively,wasclosetostatisticalsigni?cance(P = 0.054).Lowereconomycategoryambulatorypatientshad
higher risk ofinfection. Conclusion.Ambulatorycataract surgery carried additionalrisk forpost-operat
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