Retrospective study in 1020 cases on the rate of surgical site infections after lacrimal surgery without prophylactic systemic antibiotics
Background/Aims Data regarding the effectiveness of prophylactic systemic antibiotics (PSA) in lacrimal surgery is scarce. Therefore, we determined the postoperative surgical site infection (SSI) rate in lacrimal surgery without PSA. Methods We retrospectively analysed files of patients who underwen...
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| Veröffentlicht in: | Acta ophthalmologica (Oxford, England) England), 2024-12, Vol.102 (8), p.963-967 |
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| creator | Keizer, R. O. B. Suwandi, J. S. Limpt, J. C. Kluis, C. Hötte, G. Nagtegaal, A. P. Paridaens, D. |
| description | Background/Aims
Data regarding the effectiveness of prophylactic systemic antibiotics (PSA) in lacrimal surgery is scarce. Therefore, we determined the postoperative surgical site infection (SSI) rate in lacrimal surgery without PSA.
Methods
We retrospectively analysed files of patients who underwent external (extDCR) or endoscopic endonasal dacryocystorhinostomy (endoDCR). We excluded patients with incomplete data (n = 68), acute a priori infection with the need for antibiotics (n = 15) and PSA post‐operatively for other reasons (n = 28). Indications for surgery were canalicular stenosis (n = 51, 18.6% endoDCR vs n = 131, 19.5% extDCR), nasolacrimal duct obstruction (n = 118, 43.2% endoDCR vs n = 480, 64.3% extDCR) and mucocele/chronic dacryocystitis (n = 52, 19.0% endoDCR vs n = 187, 25.0% extDCR).
Results
In this study, 1020 DCR surgeries were performed in 899 patients. Postoperative SSI was diagnosed in eight patients (0.8%); exclusively after extDCR (1.1% of all extDCR). No SSIs were found in endoDCR cases. The prevalence between SSI in extDCR versus endoDCR did not prove significant (n = 8/747 0.8% vs n = 0/273 0%, p = 0.13). All patients diagnosed with SSI were successfully treated with systemic oral antibiotics.
Conclusion
The prevalence of SSI after DCR is low and was effectively treated with oral antibiotics. In our study, SSI occurred rarely after extDCR and was not observed after endoDCR. We conclude that lacrimal surgery is safe without the routine administration of PSA. |
| doi_str_mv | 10.1111/aos.16735 |
| format | Article |
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Data regarding the effectiveness of prophylactic systemic antibiotics (PSA) in lacrimal surgery is scarce. Therefore, we determined the postoperative surgical site infection (SSI) rate in lacrimal surgery without PSA.
Methods
We retrospectively analysed files of patients who underwent external (extDCR) or endoscopic endonasal dacryocystorhinostomy (endoDCR). We excluded patients with incomplete data (n = 68), acute a priori infection with the need for antibiotics (n = 15) and PSA post‐operatively for other reasons (n = 28). Indications for surgery were canalicular stenosis (n = 51, 18.6% endoDCR vs n = 131, 19.5% extDCR), nasolacrimal duct obstruction (n = 118, 43.2% endoDCR vs n = 480, 64.3% extDCR) and mucocele/chronic dacryocystitis (n = 52, 19.0% endoDCR vs n = 187, 25.0% extDCR).
Results
In this study, 1020 DCR surgeries were performed in 899 patients. Postoperative SSI was diagnosed in eight patients (0.8%); exclusively after extDCR (1.1% of all extDCR). No SSIs were found in endoDCR cases. The prevalence between SSI in extDCR versus endoDCR did not prove significant (n = 8/747 0.8% vs n = 0/273 0%, p = 0.13). All patients diagnosed with SSI were successfully treated with systemic oral antibiotics.
Conclusion
The prevalence of SSI after DCR is low and was effectively treated with oral antibiotics. In our study, SSI occurred rarely after extDCR and was not observed after endoDCR. We conclude that lacrimal surgery is safe without the routine administration of PSA.</description><identifier>ISSN: 1755-375X</identifier><identifier>ISSN: 1755-3768</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/aos.16735</identifier><identifier>PMID: 38953540</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents - therapeutic use ; Antibiotic Prophylaxis - methods ; Antibiotics ; Child ; Dacryocystitis ; dacryocystorhinostomy ; Dacryocystorhinostomy - adverse effects ; Dacryocystorhinostomy - methods ; endonasal DCR ; Endoscopy - methods ; external DCR ; Eye Infections, Bacterial - diagnosis ; Eye Infections, Bacterial - epidemiology ; Eye Infections, Bacterial - microbiology ; Eye Infections, Bacterial - prevention & control ; Female ; Humans ; Incidence ; Lacrimal Duct Obstruction - diagnosis ; Lacrimal gland and Nasolacrimal duct ; lacrimal surgery ; Male ; Middle Aged ; Nasolacrimal Duct - surgery ; prophylactic systemic antibiotics ; Retrospective Studies ; Stenosis ; Surgery ; surgical site infection ; Surgical site infections ; Surgical Wound Infection - diagnosis ; Surgical Wound Infection - epidemiology ; Surgical Wound Infection - etiology ; Surgical Wound Infection - prevention & control ; Young Adult</subject><ispartof>Acta ophthalmologica (Oxford, England), 2024-12, Vol.102 (8), p.963-967</ispartof><rights>2024 The Author(s). published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.</rights><rights>2024 The Author(s). Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2435-5ed4322aa02653e272c90b133ee510d7d141d9e7f980a683dfd19caf843624423</cites><orcidid>0000-0003-3916-0012 ; 0000-0002-4241-9673 ; 0000-0001-6762-3614</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Faos.16735$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Faos.16735$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38953540$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keizer, R. O. B.</creatorcontrib><creatorcontrib>Suwandi, J. S.</creatorcontrib><creatorcontrib>Limpt, J. C.</creatorcontrib><creatorcontrib>Kluis, C.</creatorcontrib><creatorcontrib>Hötte, G.</creatorcontrib><creatorcontrib>Nagtegaal, A. P.</creatorcontrib><creatorcontrib>Paridaens, D.</creatorcontrib><title>Retrospective study in 1020 cases on the rate of surgical site infections after lacrimal surgery without prophylactic systemic antibiotics</title><title>Acta ophthalmologica (Oxford, England)</title><addtitle>Acta Ophthalmol</addtitle><description>Background/Aims
Data regarding the effectiveness of prophylactic systemic antibiotics (PSA) in lacrimal surgery is scarce. Therefore, we determined the postoperative surgical site infection (SSI) rate in lacrimal surgery without PSA.
Methods
We retrospectively analysed files of patients who underwent external (extDCR) or endoscopic endonasal dacryocystorhinostomy (endoDCR). We excluded patients with incomplete data (n = 68), acute a priori infection with the need for antibiotics (n = 15) and PSA post‐operatively for other reasons (n = 28). Indications for surgery were canalicular stenosis (n = 51, 18.6% endoDCR vs n = 131, 19.5% extDCR), nasolacrimal duct obstruction (n = 118, 43.2% endoDCR vs n = 480, 64.3% extDCR) and mucocele/chronic dacryocystitis (n = 52, 19.0% endoDCR vs n = 187, 25.0% extDCR).
Results
In this study, 1020 DCR surgeries were performed in 899 patients. Postoperative SSI was diagnosed in eight patients (0.8%); exclusively after extDCR (1.1% of all extDCR). No SSIs were found in endoDCR cases. The prevalence between SSI in extDCR versus endoDCR did not prove significant (n = 8/747 0.8% vs n = 0/273 0%, p = 0.13). All patients diagnosed with SSI were successfully treated with systemic oral antibiotics.
Conclusion
The prevalence of SSI after DCR is low and was effectively treated with oral antibiotics. In our study, SSI occurred rarely after extDCR and was not observed after endoDCR. We conclude that lacrimal surgery is safe without the routine administration of PSA.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotic Prophylaxis - methods</subject><subject>Antibiotics</subject><subject>Child</subject><subject>Dacryocystitis</subject><subject>dacryocystorhinostomy</subject><subject>Dacryocystorhinostomy - adverse effects</subject><subject>Dacryocystorhinostomy - methods</subject><subject>endonasal DCR</subject><subject>Endoscopy - methods</subject><subject>external DCR</subject><subject>Eye Infections, Bacterial - diagnosis</subject><subject>Eye Infections, Bacterial - epidemiology</subject><subject>Eye Infections, Bacterial - microbiology</subject><subject>Eye Infections, Bacterial - prevention & control</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Lacrimal Duct Obstruction - diagnosis</subject><subject>Lacrimal gland and Nasolacrimal duct</subject><subject>lacrimal surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nasolacrimal Duct - surgery</subject><subject>prophylactic systemic antibiotics</subject><subject>Retrospective Studies</subject><subject>Stenosis</subject><subject>Surgery</subject><subject>surgical site infection</subject><subject>Surgical site infections</subject><subject>Surgical Wound Infection - diagnosis</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Surgical Wound Infection - etiology</subject><subject>Surgical Wound Infection - prevention & control</subject><subject>Young Adult</subject><issn>1755-375X</issn><issn>1755-3768</issn><issn>1755-3768</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kctqHDEQRUVIiJ1JFv4BI8jGWYytt7qXxjgPMBgSB7ITGnW1R6anNVapbfoX8tXReBwvAtGmiqqjS3EvIUecnfL6znzCU26s1K_IIbdaL6U1zeuXXv86IO8Q7xgz3Bj1lhzIptVSK3ZIfn-HkhNuIZT4ABTL1M00jpQzwWjwCEjTSMsaaPYFaOopTvk2Bj9QjHUQx373NY1IfV8g08GHHDe7deUgz_QxlnWaCt3mtF3PdV1ioDhjgU1t_FjiKqY6w_fkTe8HhA_PdUF-fr68ufi6vLr-8u3i_GoZhJJ6qaFTUgjvmTBagrAitGzFpQTQnHW244p3Ldi-bZg3jez6jrfB942SRigl5IKc7HXrRfcTYHGbiAGGwY-QJnSSWS2tUtWiBfn4D3qXpjzW65zkwlgrtJSV-rSnQnUSM_Ruu7Mgz44ztwvI1YDcU0CVPX5WnFYb6F7Iv4lU4GwPPMYB5v8rufPrH3vJP5O5m5c</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Keizer, R. O. B.</creator><creator>Suwandi, J. S.</creator><creator>Limpt, J. C.</creator><creator>Kluis, C.</creator><creator>Hötte, G.</creator><creator>Nagtegaal, A. P.</creator><creator>Paridaens, D.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><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>7TK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3916-0012</orcidid><orcidid>https://orcid.org/0000-0002-4241-9673</orcidid><orcidid>https://orcid.org/0000-0001-6762-3614</orcidid></search><sort><creationdate>202412</creationdate><title>Retrospective study in 1020 cases on the rate of surgical site infections after lacrimal surgery without prophylactic systemic antibiotics</title><author>Keizer, R. O. B. ; Suwandi, J. S. ; Limpt, J. C. ; Kluis, C. ; Hötte, G. ; Nagtegaal, A. P. ; Paridaens, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2435-5ed4322aa02653e272c90b133ee510d7d141d9e7f980a683dfd19caf843624423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibiotic Prophylaxis - methods</topic><topic>Antibiotics</topic><topic>Child</topic><topic>Dacryocystitis</topic><topic>dacryocystorhinostomy</topic><topic>Dacryocystorhinostomy - adverse effects</topic><topic>Dacryocystorhinostomy - methods</topic><topic>endonasal DCR</topic><topic>Endoscopy - methods</topic><topic>external DCR</topic><topic>Eye Infections, Bacterial - diagnosis</topic><topic>Eye Infections, Bacterial - epidemiology</topic><topic>Eye Infections, Bacterial - microbiology</topic><topic>Eye Infections, Bacterial - prevention & control</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Lacrimal Duct Obstruction - diagnosis</topic><topic>Lacrimal gland and Nasolacrimal duct</topic><topic>lacrimal surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nasolacrimal Duct - surgery</topic><topic>prophylactic systemic antibiotics</topic><topic>Retrospective Studies</topic><topic>Stenosis</topic><topic>Surgery</topic><topic>surgical site infection</topic><topic>Surgical site infections</topic><topic>Surgical Wound Infection - diagnosis</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Surgical Wound Infection - etiology</topic><topic>Surgical Wound Infection - prevention & control</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keizer, R. O. B.</creatorcontrib><creatorcontrib>Suwandi, J. S.</creatorcontrib><creatorcontrib>Limpt, J. C.</creatorcontrib><creatorcontrib>Kluis, C.</creatorcontrib><creatorcontrib>Hötte, G.</creatorcontrib><creatorcontrib>Nagtegaal, A. P.</creatorcontrib><creatorcontrib>Paridaens, D.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Acta ophthalmologica (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keizer, R. O. B.</au><au>Suwandi, J. S.</au><au>Limpt, J. C.</au><au>Kluis, C.</au><au>Hötte, G.</au><au>Nagtegaal, A. P.</au><au>Paridaens, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retrospective study in 1020 cases on the rate of surgical site infections after lacrimal surgery without prophylactic systemic antibiotics</atitle><jtitle>Acta ophthalmologica (Oxford, England)</jtitle><addtitle>Acta Ophthalmol</addtitle><date>2024-12</date><risdate>2024</risdate><volume>102</volume><issue>8</issue><spage>963</spage><epage>967</epage><pages>963-967</pages><issn>1755-375X</issn><issn>1755-3768</issn><eissn>1755-3768</eissn><abstract>Background/Aims
Data regarding the effectiveness of prophylactic systemic antibiotics (PSA) in lacrimal surgery is scarce. Therefore, we determined the postoperative surgical site infection (SSI) rate in lacrimal surgery without PSA.
Methods
We retrospectively analysed files of patients who underwent external (extDCR) or endoscopic endonasal dacryocystorhinostomy (endoDCR). We excluded patients with incomplete data (n = 68), acute a priori infection with the need for antibiotics (n = 15) and PSA post‐operatively for other reasons (n = 28). Indications for surgery were canalicular stenosis (n = 51, 18.6% endoDCR vs n = 131, 19.5% extDCR), nasolacrimal duct obstruction (n = 118, 43.2% endoDCR vs n = 480, 64.3% extDCR) and mucocele/chronic dacryocystitis (n = 52, 19.0% endoDCR vs n = 187, 25.0% extDCR).
Results
In this study, 1020 DCR surgeries were performed in 899 patients. Postoperative SSI was diagnosed in eight patients (0.8%); exclusively after extDCR (1.1% of all extDCR). No SSIs were found in endoDCR cases. The prevalence between SSI in extDCR versus endoDCR did not prove significant (n = 8/747 0.8% vs n = 0/273 0%, p = 0.13). All patients diagnosed with SSI were successfully treated with systemic oral antibiotics.
Conclusion
The prevalence of SSI after DCR is low and was effectively treated with oral antibiotics. In our study, SSI occurred rarely after extDCR and was not observed after endoDCR. We conclude that lacrimal surgery is safe without the routine administration of PSA.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38953540</pmid><doi>10.1111/aos.16735</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-3916-0012</orcidid><orcidid>https://orcid.org/0000-0002-4241-9673</orcidid><orcidid>https://orcid.org/0000-0001-6762-3614</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Anti-Bacterial Agents - therapeutic use Antibiotic Prophylaxis - methods Antibiotics Child Dacryocystitis dacryocystorhinostomy Dacryocystorhinostomy - adverse effects Dacryocystorhinostomy - methods endonasal DCR Endoscopy - methods external DCR Eye Infections, Bacterial - diagnosis Eye Infections, Bacterial - epidemiology Eye Infections, Bacterial - microbiology Eye Infections, Bacterial - prevention & control Female Humans Incidence Lacrimal Duct Obstruction - diagnosis Lacrimal gland and Nasolacrimal duct lacrimal surgery Male Middle Aged Nasolacrimal Duct - surgery prophylactic systemic antibiotics Retrospective Studies Stenosis Surgery surgical site infection Surgical site infections Surgical Wound Infection - diagnosis Surgical Wound Infection - epidemiology Surgical Wound Infection - etiology Surgical Wound Infection - prevention & control Young Adult |
| title | Retrospective study in 1020 cases on the rate of surgical site infections after lacrimal surgery without prophylactic systemic antibiotics |
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