Bacterial culture after three sterilization methods for cataract surgery
Purpose To compare bacterial cultures from three sterilization methods immediately before and after cataract surgery. Design A prospective randomized open-label group-comparison study. Methods We investigated 75 eyes in 73 consecutive patients undergoing cataract surgery. After swabbing the eyelid a...
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| Veröffentlicht in: | Japanese journal of ophthalmology 2013-01, Vol.57 (1), p.74-79 |
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| creator | Inagaki, Keiji Yamaguchi, Tatsuo Ohde, Sachiko Deshpande, Gautam A. Kakinoki, Kazukuni Ohkoshi, Kishiko |
| description | Purpose
To compare bacterial cultures from three sterilization methods immediately before and after cataract surgery.
Design
A prospective randomized open-label group-comparison study.
Methods
We investigated 75 eyes in 73 consecutive patients undergoing cataract surgery. After swabbing the eyelid and surrounding area, patients were randomly assigned to one of 3 eye-washing methods: patients administered one drop of 5 % povidone–iodine (Group A); patients whose conjunctival sac was washed with 0.02 % chlorhexidine while everting the eyelid (Group B); or 0.02 % chlorhexidine as above but without eyelid eversion (Group C). In each group, specimens were collected from the conjunctival sac immediately before and after eye washing and again at completion of surgery, along with aqueous humor. The post-surgical condition of the corneal epithelium and the severity of anterior chamber inflammation were assessed by use of a slit-lamp microscope.
Results
In Groups A and C, the percentage of eyes with conjunctival bacteria decreased significantly from immediately before to immediately after washing (Group A,
p
= 0.008; Group C,
p
= 0.016), but there was no significant decrease in Group B (
p
= 0.125). Slit-lamp microscopy showed that inflammation of the anterior chamber 1 day after surgery was significantly milder in Group C than in Group B (
p
= 0.032).
Conclusion
Eye-washing methods without eyelid eversion are more effective in reducing conjunctival bacteria before surgery and anterior chamber inflammation after surgery than those with eyelid eversion. |
| doi_str_mv | 10.1007/s10384-012-0201-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1273507193</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3182663401</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-37be52dfdba34db4369d616a03b5bce178adf7ad985fb1f3bd6102c81660c4b33</originalsourceid><addsrcrecordid>eNp1kE1LxDAURYMozjj6A9xIwY2b6ntJm7RLHdQRBtzoOiRp6nTox5i0C_31pnQUEVwFcs-9CYeQc4RrBBA3HoFlSQxIY6CAMRyQOXJkMaUJPyRzAIpximk6IyfebwEgoYwekxllkAHl-Zys7pTpratUHZmh7gdnI1WGi6jfOGsjP2Z19an6qmujxvabrvBR2bnIqF650I384N6s-zglR6WqvT3bnwvy-nD_slzF6-fHp-XtOjYJp33MhLYpLcpCK5YUOmE8LzhyBUyn2lgUmSpKoYo8S0uNJdMhBWoy5BxMohlbkKtpd-e698H6XjaVN7auVWu7wUukgqUgMB_Ryz_othtcG34nMRFC0ExwCBROlHGd986WcueqRrkPiSBHzXLSLINmOWqWY-divzzoxhY_jW-vAaAT4EPUBj-_nv539Qvx1Yez</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1477728760</pqid></control><display><type>article</type><title>Bacterial culture after three sterilization methods for cataract surgery</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Inagaki, Keiji ; Yamaguchi, Tatsuo ; Ohde, Sachiko ; Deshpande, Gautam A. ; Kakinoki, Kazukuni ; Ohkoshi, Kishiko</creator><creatorcontrib>Inagaki, Keiji ; Yamaguchi, Tatsuo ; Ohde, Sachiko ; Deshpande, Gautam A. ; Kakinoki, Kazukuni ; Ohkoshi, Kishiko</creatorcontrib><description>Purpose
To compare bacterial cultures from three sterilization methods immediately before and after cataract surgery.
Design
A prospective randomized open-label group-comparison study.
Methods
We investigated 75 eyes in 73 consecutive patients undergoing cataract surgery. After swabbing the eyelid and surrounding area, patients were randomly assigned to one of 3 eye-washing methods: patients administered one drop of 5 % povidone–iodine (Group A); patients whose conjunctival sac was washed with 0.02 % chlorhexidine while everting the eyelid (Group B); or 0.02 % chlorhexidine as above but without eyelid eversion (Group C). In each group, specimens were collected from the conjunctival sac immediately before and after eye washing and again at completion of surgery, along with aqueous humor. The post-surgical condition of the corneal epithelium and the severity of anterior chamber inflammation were assessed by use of a slit-lamp microscope.
Results
In Groups A and C, the percentage of eyes with conjunctival bacteria decreased significantly from immediately before to immediately after washing (Group A,
p
= 0.008; Group C,
p
= 0.016), but there was no significant decrease in Group B (
p
= 0.125). Slit-lamp microscopy showed that inflammation of the anterior chamber 1 day after surgery was significantly milder in Group C than in Group B (
p
= 0.032).
Conclusion
Eye-washing methods without eyelid eversion are more effective in reducing conjunctival bacteria before surgery and anterior chamber inflammation after surgery than those with eyelid eversion.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-012-0201-0</identifier><identifier>PMID: 23080269</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Aqueous Humor - microbiology ; Bacteria - isolation & purification ; Cataract Extraction ; Clinical Investigation ; Colony Count, Microbial ; Eye Infections, Bacterial - microbiology ; Eye Infections, Bacterial - prevention & control ; Eyelids - microbiology ; Female ; Follow-Up Studies ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Ophthalmology ; Prospective Studies ; Reproducibility of Results ; Sterilization - methods ; Surgical Wound Infection - microbiology ; Surgical Wound Infection - prevention & control</subject><ispartof>Japanese journal of ophthalmology, 2013-01, Vol.57 (1), p.74-79</ispartof><rights>Japanese Ophthalmological Society 2012</rights><rights>Japanese Ophthalmological Society 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-37be52dfdba34db4369d616a03b5bce178adf7ad985fb1f3bd6102c81660c4b33</citedby><cites>FETCH-LOGICAL-c462t-37be52dfdba34db4369d616a03b5bce178adf7ad985fb1f3bd6102c81660c4b33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10384-012-0201-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10384-012-0201-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23080269$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Inagaki, Keiji</creatorcontrib><creatorcontrib>Yamaguchi, Tatsuo</creatorcontrib><creatorcontrib>Ohde, Sachiko</creatorcontrib><creatorcontrib>Deshpande, Gautam A.</creatorcontrib><creatorcontrib>Kakinoki, Kazukuni</creatorcontrib><creatorcontrib>Ohkoshi, Kishiko</creatorcontrib><title>Bacterial culture after three sterilization methods for cataract surgery</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose
To compare bacterial cultures from three sterilization methods immediately before and after cataract surgery.
Design
A prospective randomized open-label group-comparison study.
Methods
We investigated 75 eyes in 73 consecutive patients undergoing cataract surgery. After swabbing the eyelid and surrounding area, patients were randomly assigned to one of 3 eye-washing methods: patients administered one drop of 5 % povidone–iodine (Group A); patients whose conjunctival sac was washed with 0.02 % chlorhexidine while everting the eyelid (Group B); or 0.02 % chlorhexidine as above but without eyelid eversion (Group C). In each group, specimens were collected from the conjunctival sac immediately before and after eye washing and again at completion of surgery, along with aqueous humor. The post-surgical condition of the corneal epithelium and the severity of anterior chamber inflammation were assessed by use of a slit-lamp microscope.
Results
In Groups A and C, the percentage of eyes with conjunctival bacteria decreased significantly from immediately before to immediately after washing (Group A,
p
= 0.008; Group C,
p
= 0.016), but there was no significant decrease in Group B (
p
= 0.125). Slit-lamp microscopy showed that inflammation of the anterior chamber 1 day after surgery was significantly milder in Group C than in Group B (
p
= 0.032).
Conclusion
Eye-washing methods without eyelid eversion are more effective in reducing conjunctival bacteria before surgery and anterior chamber inflammation after surgery than those with eyelid eversion.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aqueous Humor - microbiology</subject><subject>Bacteria - isolation & purification</subject><subject>Cataract Extraction</subject><subject>Clinical Investigation</subject><subject>Colony Count, Microbial</subject><subject>Eye Infections, Bacterial - microbiology</subject><subject>Eye Infections, Bacterial - prevention & control</subject><subject>Eyelids - microbiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Sterilization - methods</subject><subject>Surgical Wound Infection - microbiology</subject><subject>Surgical Wound Infection - prevention & control</subject><issn>0021-5155</issn><issn>1613-2246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1LxDAURYMozjj6A9xIwY2b6ntJm7RLHdQRBtzoOiRp6nTox5i0C_31pnQUEVwFcs-9CYeQc4RrBBA3HoFlSQxIY6CAMRyQOXJkMaUJPyRzAIpximk6IyfebwEgoYwekxllkAHl-Zys7pTpratUHZmh7gdnI1WGi6jfOGsjP2Z19an6qmujxvabrvBR2bnIqF650I384N6s-zglR6WqvT3bnwvy-nD_slzF6-fHp-XtOjYJp33MhLYpLcpCK5YUOmE8LzhyBUyn2lgUmSpKoYo8S0uNJdMhBWoy5BxMohlbkKtpd-e698H6XjaVN7auVWu7wUukgqUgMB_Ryz_othtcG34nMRFC0ExwCBROlHGd986WcueqRrkPiSBHzXLSLINmOWqWY-divzzoxhY_jW-vAaAT4EPUBj-_nv539Qvx1Yez</recordid><startdate>20130101</startdate><enddate>20130101</enddate><creator>Inagaki, Keiji</creator><creator>Yamaguchi, Tatsuo</creator><creator>Ohde, Sachiko</creator><creator>Deshpande, Gautam A.</creator><creator>Kakinoki, Kazukuni</creator><creator>Ohkoshi, Kishiko</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20130101</creationdate><title>Bacterial culture after three sterilization methods for cataract surgery</title><author>Inagaki, Keiji ; Yamaguchi, Tatsuo ; Ohde, Sachiko ; Deshpande, Gautam A. ; Kakinoki, Kazukuni ; Ohkoshi, Kishiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-37be52dfdba34db4369d616a03b5bce178adf7ad985fb1f3bd6102c81660c4b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aqueous Humor - microbiology</topic><topic>Bacteria - isolation & purification</topic><topic>Cataract Extraction</topic><topic>Clinical Investigation</topic><topic>Colony Count, Microbial</topic><topic>Eye Infections, Bacterial - microbiology</topic><topic>Eye Infections, Bacterial - prevention & control</topic><topic>Eyelids - microbiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Sterilization - methods</topic><topic>Surgical Wound Infection - microbiology</topic><topic>Surgical Wound Infection - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inagaki, Keiji</creatorcontrib><creatorcontrib>Yamaguchi, Tatsuo</creatorcontrib><creatorcontrib>Ohde, Sachiko</creatorcontrib><creatorcontrib>Deshpande, Gautam A.</creatorcontrib><creatorcontrib>Kakinoki, Kazukuni</creatorcontrib><creatorcontrib>Ohkoshi, Kishiko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inagaki, Keiji</au><au>Yamaguchi, Tatsuo</au><au>Ohde, Sachiko</au><au>Deshpande, Gautam A.</au><au>Kakinoki, Kazukuni</au><au>Ohkoshi, Kishiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bacterial culture after three sterilization methods for cataract surgery</atitle><jtitle>Japanese journal of ophthalmology</jtitle><stitle>Jpn J Ophthalmol</stitle><addtitle>Jpn J Ophthalmol</addtitle><date>2013-01-01</date><risdate>2013</risdate><volume>57</volume><issue>1</issue><spage>74</spage><epage>79</epage><pages>74-79</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><abstract>Purpose
To compare bacterial cultures from three sterilization methods immediately before and after cataract surgery.
Design
A prospective randomized open-label group-comparison study.
Methods
We investigated 75 eyes in 73 consecutive patients undergoing cataract surgery. After swabbing the eyelid and surrounding area, patients were randomly assigned to one of 3 eye-washing methods: patients administered one drop of 5 % povidone–iodine (Group A); patients whose conjunctival sac was washed with 0.02 % chlorhexidine while everting the eyelid (Group B); or 0.02 % chlorhexidine as above but without eyelid eversion (Group C). In each group, specimens were collected from the conjunctival sac immediately before and after eye washing and again at completion of surgery, along with aqueous humor. The post-surgical condition of the corneal epithelium and the severity of anterior chamber inflammation were assessed by use of a slit-lamp microscope.
Results
In Groups A and C, the percentage of eyes with conjunctival bacteria decreased significantly from immediately before to immediately after washing (Group A,
p
= 0.008; Group C,
p
= 0.016), but there was no significant decrease in Group B (
p
= 0.125). Slit-lamp microscopy showed that inflammation of the anterior chamber 1 day after surgery was significantly milder in Group C than in Group B (
p
= 0.032).
Conclusion
Eye-washing methods without eyelid eversion are more effective in reducing conjunctival bacteria before surgery and anterior chamber inflammation after surgery than those with eyelid eversion.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>23080269</pmid><doi>10.1007/s10384-012-0201-0</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0021-5155 |
| ispartof | Japanese journal of ophthalmology, 2013-01, Vol.57 (1), p.74-79 |
| issn | 0021-5155 1613-2246 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1273507193 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Aged Aged, 80 and over Aqueous Humor - microbiology Bacteria - isolation & purification Cataract Extraction Clinical Investigation Colony Count, Microbial Eye Infections, Bacterial - microbiology Eye Infections, Bacterial - prevention & control Eyelids - microbiology Female Follow-Up Studies Humans Male Medicine Medicine & Public Health Middle Aged Ophthalmology Prospective Studies Reproducibility of Results Sterilization - methods Surgical Wound Infection - microbiology Surgical Wound Infection - prevention & control |
| title | Bacterial culture after three sterilization methods for cataract surgery |
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