녹내장 수술에 사용하는 예방적 항생제: 단일기관 경험

• 영문명: Use of Prophylactic Antibiotics in Glaucoma Surgery: A Single Center’s Experience
• 발행기관: 대한안과학회
• 저자명: 이진영 성경림 나정화 이영록,Jin Young Lee, MD, Kyung Rim Sung, MD, PhD, Jung Hwa Na, MD, Youngrok Lee, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number5, 647~651쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.05.15

영문 초록

Purpose: To evaluate the use of prophylactic antibiotics in glaucoma surgery and the prevalence of postoperative endophthalmitis. Methods: Retrospective medical record review was performed on 136 eyes which underwent glaucoma operation by one surgeon from March 2008 to February 2010 and were followed at least till 6 months postoperatively (glaucoma drainage device implantation; 95 eyes, trabeculectomy; 41 eyes). Results: For intravenous antibiotics injection, 10 eyes used 3rd generation cephalosporin, 54 eyes used 4-fluoroquinolone, 72 eyes used 2nd generation cephalosporin. For oral antibiotics, 125 eyes used 3rd generation cephalosporin, 1 case used 4-fluoroquinolone, and other 10 cases did not use oral antibiotics after the surgery. Total period of systemic antibiotics use showed various distributions with 14 eyes more than 5 days, 115 eyes 4-5 days, and 8 cases less than 4 days. Six eye which used 4-fluoroquinolone and 3 eyes which used cephalosporin showed side effect such as skin lesion and nausea. There has been no single occurrence of endophthalmitis. Conclusions: Various kinds of prophylactic antibiotics were used for glaucoma surgery and the period of antibiotics use was different among patients. However, there has been no single occurrence of endophthalmitis till 6 months postoperative follow up. J Korean Ophthalmol Soc 2012;53(5):647-651

키워드

Antibiotics, Endophthalmitis, Glaucoma surgery