36 107例不同类型内眼手术或操作后感染性眼内炎的发病率及临床特点
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王勇

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R181.3+2;R77

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爱尔眼科医院集团科研基金项目(AM162D08、AF1902D3)


Incidence and clinical characteristics of infectious endophthalmitis after different types of intraocular surgery/manipulation in 36 107 patientss
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    摘要:

    目的 分析不同类型内眼手术/操作后感染性眼内炎的发病率及临床特征,为眼科医院感染的防控提供参考依据。方法 对2017年1月-2019年12月某院行内眼手术/操作的患者进行回顾性分析,分析感染性眼内炎发生情况。结果 共收集内眼手术/操作后患者36 107例,平均年龄(50.78±19.96)岁;内眼手术类型以白内障手术(52.10%)、高度近视眼可植入式隐形眼镜置入术(ICL,19.67%)、玻璃体切割手术(17.58%)为主。共20例患者发生感染性眼内炎,总发病率为0.06%,其中术后急性眼内炎为14例,迟发型眼内炎6例;不同手术类型感染性眼内炎发病率最低的是ICL(0.01%),最高的是青光眼手术(0.12%)。20例感染性眼内炎患者共检出病原菌12株,其中革兰阳性菌8株,革兰阴性菌3株,真菌1株;20例患者中有12例(60.00%)行玻璃体切割手术治疗,18例治愈,治愈率为90.00%。结论 不同类型内眼手术/操作后感染性眼内炎的发病率不同,应根据不同手术类型进行感染性眼内炎的预防。

    Abstract:

    Objective To analyze the incidence and clinical characteristics of infectious endophthalmitis after different types of intraocular surgery/manipulation, provide reference for prevention and control of healthcare-associa-ted infection(HAI)in ophthalmology hospital. Methods Patients who underwent intraocular surgery/manipulation in a hospital from January 2017 to December 2019 were analyzed retrospectively, occurrence of infectious endophthalmitis was analyzed. Results A total of 36 107 patients (mean age 50.78±19.96 years) undergoing intraocular surgery/manipulation were collected; the main types of intraocular surgery were cataract surgery (52.10%), implantable contact lens(ICL) surgery for high myopia (19.67%) and vitrectomy (17.58%). A total of 20 patients developed infectious endophthalmitis, the overall incidence was 0.06%, of which 14 cases were postoperative acute endophthalmitis, 6 cases were delayed-onset endophthalmitis; among different surgical types, ICL surgery had the lowest incidence of infectious endophthalmitis (0.01%), and glaucoma surgery had the highest incidence of infectious endophthalmitis (0.12%). A total of 12 strains of pathogens were isolated from 20 patients with infectious endophthalmitis, including 8 strains of Gram-positive bacteria, 3 strains of Gram-negative bacteria and 1 strain of fungus; 12 patients (60.00%) were treated with pars-plana vitrectomy, and 18 patients were cured, the cure rate was 90.00%. Conclusion Incidence of infectious endophthalmitis is varied in different types of intraocular surgery/manipulation, prevention of infectious endophthalmitis should be conducted according to different types of operation.

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涂海霞, 王勇.36 107例不同类型内眼手术或操作后感染性眼内炎的发病率及临床特点[J]. 中国感染控制杂志,2020,19(10):889-893. DOI:10.12138/j. issn.1671-9638.20206269.
TU Hai-xia, WANG Yong. Incidence and clinical characteristics of infectious endophthalmitis after different types of intraocular surgery/manipulation in 36 107 patientss[J]. Chin J Infect Control, 2020,19(10):889-893. DOI:10.12138/j. issn.1671-9638.20206269.

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  • 收稿日期:2020-02-03
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  • 在线发布日期: 2020-10-28
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