Incidence of Acute Postoperative Endophthalmitis after Cataract Surgery: A Nationwide Study in France from 2005 to 2014
To report the incidence of acute postoperative endophthalmitis (POE) after cataract surgery from 2005 to 2014 in France. Cohort study. Patients undergoing operation for cataract surgery by phacoemulsification and presenting acute POE. We identified acute POE occurring within 6 weeks after phacoemuls...
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| Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 2016-07, Vol.123 (7), p.1414-1420 |
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| creator | Creuzot-Garcher, Catherine Benzenine, Eric Mariet, Anne-Sophie de Lazzer, Aurélie Chiquet, Christophe Bron, Alain M Quantin, Catherine |
| description | To report the incidence of acute postoperative endophthalmitis (POE) after cataract surgery from 2005 to 2014 in France.
Cohort study.
Patients undergoing operation for cataract surgery by phacoemulsification and presenting acute POE.
We identified acute POE occurring within 6 weeks after phacoemulsification cataract surgery and the use of intracameral antibiotic injection during the surgical procedure by means of billing codes from a national database.
Incidence of acute POE.
From January 2005 to December 2014, 6 371 242 eyes in 3 983 525 patients underwent phacoemulsification cataract surgery. The incidence of acute POE after phacoemulsification decreased from 0.145% to 0.053% during this 10-year period; the unadjusted incidence rate ratio (IRR) (95% confidence interval) was 0.37 (0.32-0.42; P < 0.001). In multivariate analysis, intracameral antibiotic injection was associated with a lower risk of acute POE 0.53 (0.50-0.57; P < 0.001), whereas intraoperative posterior capsule rupture, combined surgery, and gender (male) were associated with a higher risk of acute POE: 5.24 (4.11-6.68), 1.77 (1.53-2.05), and 1.48 (1.40-1.56) (P < 0.001), respectively.
Access to a national database allowed us to observe a decrease in acute POE after phacoemulsification cataract surgery from 2005 to 2014. Within the same period, the use of intracameral antibiotics during the surgical procedures increased. |
| doi_str_mv | 10.1016/j.ophtha.2016.02.019 |
| format | Article |
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Cohort study.
Patients undergoing operation for cataract surgery by phacoemulsification and presenting acute POE.
We identified acute POE occurring within 6 weeks after phacoemulsification cataract surgery and the use of intracameral antibiotic injection during the surgical procedure by means of billing codes from a national database.
Incidence of acute POE.
From January 2005 to December 2014, 6 371 242 eyes in 3 983 525 patients underwent phacoemulsification cataract surgery. The incidence of acute POE after phacoemulsification decreased from 0.145% to 0.053% during this 10-year period; the unadjusted incidence rate ratio (IRR) (95% confidence interval) was 0.37 (0.32-0.42; P < 0.001). In multivariate analysis, intracameral antibiotic injection was associated with a lower risk of acute POE 0.53 (0.50-0.57; P < 0.001), whereas intraoperative posterior capsule rupture, combined surgery, and gender (male) were associated with a higher risk of acute POE: 5.24 (4.11-6.68), 1.77 (1.53-2.05), and 1.48 (1.40-1.56) (P < 0.001), respectively.
Access to a national database allowed us to observe a decrease in acute POE after phacoemulsification cataract surgery from 2005 to 2014. Within the same period, the use of intracameral antibiotics during the surgical procedures increased.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/j.ophtha.2016.02.019</identifier><identifier>PMID: 26992840</identifier><language>eng</language><publisher>United States: Elsevier</publisher><subject>Acute Disease ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents ; Anti-Bacterial Agents - therapeutic use ; Cefuroxime ; Cefuroxime - therapeutic use ; Endophthalmitis ; Endophthalmitis - drug therapy ; Endophthalmitis - epidemiology ; Endophthalmitis - etiology ; Eye Infections, Bacterial ; Eye Infections, Bacterial - drug therapy ; Eye Infections, Bacterial - epidemiology ; Eye Infections, Bacterial - etiology ; F Factor ; Female ; France ; France - epidemiology ; Human health and pathology ; Humans ; Incidence ; Life Sciences ; Male ; Middle Aged ; Multivariate Analysis ; Phacoemulsification ; Phacoemulsification - adverse effects ; Postoperative Complications ; Postoperative Complications - epidemiology ; Retrospective Studies ; Risk Factors ; Sensory Organs</subject><ispartof>Ophthalmology (Rochester, Minn.), 2016-07, Vol.123 (7), p.1414-1420</ispartof><rights>Copyright © 2016 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0001-5134-9411 ; 0000-0002-3587-4598</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26992840$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-01594874$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Creuzot-Garcher, Catherine</creatorcontrib><creatorcontrib>Benzenine, Eric</creatorcontrib><creatorcontrib>Mariet, Anne-Sophie</creatorcontrib><creatorcontrib>de Lazzer, Aurélie</creatorcontrib><creatorcontrib>Chiquet, Christophe</creatorcontrib><creatorcontrib>Bron, Alain M</creatorcontrib><creatorcontrib>Quantin, Catherine</creatorcontrib><title>Incidence of Acute Postoperative Endophthalmitis after Cataract Surgery: A Nationwide Study in France from 2005 to 2014</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>To report the incidence of acute postoperative endophthalmitis (POE) after cataract surgery from 2005 to 2014 in France.
Cohort study.
Patients undergoing operation for cataract surgery by phacoemulsification and presenting acute POE.
We identified acute POE occurring within 6 weeks after phacoemulsification cataract surgery and the use of intracameral antibiotic injection during the surgical procedure by means of billing codes from a national database.
Incidence of acute POE.
From January 2005 to December 2014, 6 371 242 eyes in 3 983 525 patients underwent phacoemulsification cataract surgery. The incidence of acute POE after phacoemulsification decreased from 0.145% to 0.053% during this 10-year period; the unadjusted incidence rate ratio (IRR) (95% confidence interval) was 0.37 (0.32-0.42; P < 0.001). In multivariate analysis, intracameral antibiotic injection was associated with a lower risk of acute POE 0.53 (0.50-0.57; P < 0.001), whereas intraoperative posterior capsule rupture, combined surgery, and gender (male) were associated with a higher risk of acute POE: 5.24 (4.11-6.68), 1.77 (1.53-2.05), and 1.48 (1.40-1.56) (P < 0.001), respectively.
Access to a national database allowed us to observe a decrease in acute POE after phacoemulsification cataract surgery from 2005 to 2014. Within the same period, the use of intracameral antibiotics during the surgical procedures increased.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Cefuroxime</subject><subject>Cefuroxime - therapeutic use</subject><subject>Endophthalmitis</subject><subject>Endophthalmitis - drug therapy</subject><subject>Endophthalmitis - epidemiology</subject><subject>Endophthalmitis - etiology</subject><subject>Eye Infections, Bacterial</subject><subject>Eye Infections, Bacterial - drug therapy</subject><subject>Eye Infections, Bacterial - epidemiology</subject><subject>Eye Infections, Bacterial - etiology</subject><subject>F Factor</subject><subject>Female</subject><subject>France</subject><subject>France - epidemiology</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Phacoemulsification</subject><subject>Phacoemulsification - adverse effects</subject><subject>Postoperative Complications</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sensory Organs</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1PwzAMhiMEYmPwDxDKEQ4tSZo0Dbdp4mPSBEjAuXKbhHVam5GmTPv3BG1wsmw_fu3XCF1SklJC89tV6jbLsISUxSwlLCVUHaExFVwlXNLsGI1jgyY5Z2SEzvp-RQjJ84yfohHLlWIFJ2O0nXd1o01XG-wsntZDMPjV9cFtjIfQfBt83-n9onXbhKbHYIPxeAYBPNQBvw3-0_jdHZ7i5zjgum2Uw29h0DvcdPjBw6-29a7FjBCBg4uR8nN0YmHdm4tDnKCPh_v32VOyeHmcz6aLZMm4CElRZUpnFEQltbaVkraua0MKVYFgVjEJNq-M1TLaEaCjJWkqSQyDgitOIZugm71uvL_c-KYFvysdNOXTdFH-1ggViheSf9PIXu_ZjXdfg-lD2TZ9bdZr6Iwb-pJKpYQQBc8jenVAh6o1-l_577HZD98Ye7Y</recordid><startdate>201607</startdate><enddate>201607</enddate><creator>Creuzot-Garcher, Catherine</creator><creator>Benzenine, Eric</creator><creator>Mariet, Anne-Sophie</creator><creator>de Lazzer, Aurélie</creator><creator>Chiquet, Christophe</creator><creator>Bron, Alain M</creator><creator>Quantin, Catherine</creator><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0001-5134-9411</orcidid><orcidid>https://orcid.org/0000-0002-3587-4598</orcidid></search><sort><creationdate>201607</creationdate><title>Incidence of Acute Postoperative Endophthalmitis after Cataract Surgery: A Nationwide Study in France from 2005 to 2014</title><author>Creuzot-Garcher, Catherine ; Benzenine, Eric ; Mariet, Anne-Sophie ; de Lazzer, Aurélie ; Chiquet, Christophe ; Bron, Alain M ; Quantin, Catherine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h245t-8b39d31a5b7ddfb97fccce089ba52f927af6befd79285ad8407eb70e2a84941a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anti-Bacterial Agents</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Cefuroxime</topic><topic>Cefuroxime - therapeutic use</topic><topic>Endophthalmitis</topic><topic>Endophthalmitis - drug therapy</topic><topic>Endophthalmitis - epidemiology</topic><topic>Endophthalmitis - etiology</topic><topic>Eye Infections, Bacterial</topic><topic>Eye Infections, Bacterial - drug therapy</topic><topic>Eye Infections, Bacterial - epidemiology</topic><topic>Eye Infections, Bacterial - etiology</topic><topic>F Factor</topic><topic>Female</topic><topic>France</topic><topic>France - epidemiology</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Phacoemulsification</topic><topic>Phacoemulsification - adverse effects</topic><topic>Postoperative Complications</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sensory Organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Creuzot-Garcher, Catherine</creatorcontrib><creatorcontrib>Benzenine, Eric</creatorcontrib><creatorcontrib>Mariet, Anne-Sophie</creatorcontrib><creatorcontrib>de Lazzer, Aurélie</creatorcontrib><creatorcontrib>Chiquet, Christophe</creatorcontrib><creatorcontrib>Bron, Alain M</creatorcontrib><creatorcontrib>Quantin, Catherine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Creuzot-Garcher, Catherine</au><au>Benzenine, Eric</au><au>Mariet, Anne-Sophie</au><au>de Lazzer, Aurélie</au><au>Chiquet, Christophe</au><au>Bron, Alain M</au><au>Quantin, Catherine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of Acute Postoperative Endophthalmitis after Cataract Surgery: A Nationwide Study in France from 2005 to 2014</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>2016-07</date><risdate>2016</risdate><volume>123</volume><issue>7</issue><spage>1414</spage><epage>1420</epage><pages>1414-1420</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><abstract>To report the incidence of acute postoperative endophthalmitis (POE) after cataract surgery from 2005 to 2014 in France.
Cohort study.
Patients undergoing operation for cataract surgery by phacoemulsification and presenting acute POE.
We identified acute POE occurring within 6 weeks after phacoemulsification cataract surgery and the use of intracameral antibiotic injection during the surgical procedure by means of billing codes from a national database.
Incidence of acute POE.
From January 2005 to December 2014, 6 371 242 eyes in 3 983 525 patients underwent phacoemulsification cataract surgery. The incidence of acute POE after phacoemulsification decreased from 0.145% to 0.053% during this 10-year period; the unadjusted incidence rate ratio (IRR) (95% confidence interval) was 0.37 (0.32-0.42; P < 0.001). In multivariate analysis, intracameral antibiotic injection was associated with a lower risk of acute POE 0.53 (0.50-0.57; P < 0.001), whereas intraoperative posterior capsule rupture, combined surgery, and gender (male) were associated with a higher risk of acute POE: 5.24 (4.11-6.68), 1.77 (1.53-2.05), and 1.48 (1.40-1.56) (P < 0.001), respectively.
Access to a national database allowed us to observe a decrease in acute POE after phacoemulsification cataract surgery from 2005 to 2014. Within the same period, the use of intracameral antibiotics during the surgical procedures increased.</abstract><cop>United States</cop><pub>Elsevier</pub><pmid>26992840</pmid><doi>10.1016/j.ophtha.2016.02.019</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5134-9411</orcidid><orcidid>https://orcid.org/0000-0002-3587-4598</orcidid></addata></record> |
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| subjects | Acute Disease Adult Age Distribution Aged Aged, 80 and over Anti-Bacterial Agents Anti-Bacterial Agents - therapeutic use Cefuroxime Cefuroxime - therapeutic use Endophthalmitis Endophthalmitis - drug therapy Endophthalmitis - epidemiology Endophthalmitis - etiology Eye Infections, Bacterial Eye Infections, Bacterial - drug therapy Eye Infections, Bacterial - epidemiology Eye Infections, Bacterial - etiology F Factor Female France France - epidemiology Human health and pathology Humans Incidence Life Sciences Male Middle Aged Multivariate Analysis Phacoemulsification Phacoemulsification - adverse effects Postoperative Complications Postoperative Complications - epidemiology Retrospective Studies Risk Factors Sensory Organs |
| title | Incidence of Acute Postoperative Endophthalmitis after Cataract Surgery: A Nationwide Study in France from 2005 to 2014 |
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